Individual provider Active NPI

Sasha Noel Perry, MS, OTR/L

  • Occupational Therapist
  • Surprise, AZ
National Provider Identifier
1750701769
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-005753 Issued in AZ
Practice address
14911 N 177TH Ave
Surprise, AZ 85388-8741
Phone
(701) 770-3798
NPI assigned
Apr 17, 2014
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5753 AZ
Occupational Therapist 225X00000X OTH-005753 AZ Primary

Addresses

Primary practice location

14911 N 177TH Ave
Surprise, AZ 85388-8741

Mailing address

14911 N 177TH Ave
Surprise, AZ 85388-8741

Other names 1

  • Sasha Noel Angermeier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918001921 AZ Practitioner - Occupational Therapist in Private Practice 7012335227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5753AZMDOccupational Therapist
OTH-005753AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Az BD of Regents for on Behalf of Northern Az University CurrentSince Jun 12, 2020 Accepting new patients
Northern Arizona University CurrentSince Jun 12, 2020 Accepting new patients

Locations

208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122

912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695

912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1750701769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 N 177TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14911 N 177TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888741",
            "telephone_number": "701-770-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SASHA",
        "middle_name": "NOEL",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5753",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-005753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "ANGERMEIER",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.