Tucson Vision Rehab, LLC

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

2531 Issued in AZ

Legal business name

TUCSON VISION REHAB, LLC

Practice address

800 N Swan Rd
Suite 102
Tucson, AZ 85711-1262

Phone

(520) 303-5689

Fax

(520) 303-5785

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Noble, OTR/L

Title

Ceo

Phone

(520) 271-1725

Specialties & licenses 1

Addresses

Other names 1

• Low Vision Rehabilitation of Southern Arizona Former legal business name

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1760813851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N SWAN RD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111262",
            "telephone_number": "520-303-5689",
            "fax_number": "520-303-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SWAN RD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111262",
            "telephone_number": "520-303-5689",
            "fax_number": "520-303-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON VISION REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-271-1725",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "AZ",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Low Vision Rehabilitation of Southern Arizona",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.