Individual provider Active NPI

Lori Kaye Wolf, OTR/L CHT

  • Hand Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1760990972
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0442 Issued in AZ
Practice address
5605 W Eugie Ave Ste 215
Glendale, AZ 85304-1275
Phone
(602) 865-5832
Fax
(602) 865-5857
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0442 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 215
Glendale, AZ 85304-1275

Mailing address

11033 N 75TH Dr
Peoria, AZ 85345-5983
Phone (623) 330-1833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000739 AZ Practitioner - Occupational Therapist in Private Practice 1254693591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0442AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 11, 2018 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 11, 2018 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 44)

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

5605 W Eugie Ave
Ste 215
Glendale, AZ 85304
Phone (480) 210-6445

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

4045 E Bell Rd
Ste 150
Phoenix, AZ 85032
Phone (602) 992-8352

2942 N 7th Ave
Ste A101
Phoenix, AZ 85013
Phone (602) 277-0084

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1760990972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 N 75TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455983",
            "telephone_number": "623-330-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 215",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041275",
            "telephone_number": "602-865-5832",
            "fax_number": "602-865-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LORI",
        "middle_name": "KAYE",
        "credential": "OTR/L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "0442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.