Phillip Stanley Wolfe, O.T.
Individual provider Active NPI Pediatric Occupational Therapist · Phoenix, AZ
NPI 1760610828 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1760610828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 0443 (AZ)
- Practice address
- 16020 S 23Rd St
Phoenix, AZ 85048-4206 - Phone
- (480) 290-3568
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Zancam LLC
Practice addresses (Care Compare)
Mesa, AZ 85213
Phone (602) 418-7031
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140703000673 | AZ | Practitioner - Occupational Therapist in Private Practice | 7113142209 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Mobile Therapy LLC | Current |
Accepting new patients | |
| Zancam LLC | Current |
Accepting new patients | |
| Anderson & Bates Inc | Current |
Accepting new patients | |
| Above & Beyond Mobile Therapy LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0443 | AZ | Yes |
Addresses
Primary practice location
16020 S 23Rd St
Phoenix, AZ 85048-4206
Mailing address
16020 S 23Rd St
Phoenix, AZ 85048-4206
Phone (480) 290-3568
Other providers in Phoenix, AZ
- John Andrew Wolfe
- John D Wolfe
- Joy Gerise Wolfe
- Kimberly A Wolfe
- Kimberly Ann Wolfe
- Randy David Wolfe
- Stacy Wolfe
- Susan Wolfe
- Tonya Rae Wolfe
- Mary Ann Wolfenson
All providers in Phoenix, AZ · Pediatric 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 Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.