Bigfoot Occupational Therapy, LLC

Key facts

NPI: 1750159802
Entity type: Organization (NPI type 2)
Primary specialty: Occupational Therapist 225X00000X
Legal business name: BIGFOOT OCCUPATIONAL THERAPY, LLC
Practice address: 300 N Paloma
Show Low, AZ 85901-3600
Phone: (740) 645-2435
NPI assigned: Dec 19, 2023
Organization subpart: No

Authorized official

Name: Suzanne C. Brumfield, OTR/L, CLT NPI 1043623366
Title: Owner/Operator
Phone: (928) 645-2435

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Suzanne C. Brumfield, OTR/L, CLT Occupational Therapist · Show Low, AZ · NPI 1043623366

NPD Authorized official OCCUPATIONAL THERAPIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225X00000X			Yes

Addresses

Primary practice location

300 N Paloma
Show Low, AZ 85901-3600

Mailing address

300 N Paloma
Show Low, AZ 85901-3600
Phone (740) 645-2435

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2023.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1750159802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PALOMA",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013600",
            "telephone_number": "740-645-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PALOMA",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013600",
            "telephone_number": "740-645-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGFOOT OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "928-645-2435",
        "authorized_official_credential": "OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

All providers in Show Low, AZ · Occupational Therapist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.