Caitlin Nicole Jefferis, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008198 Issued in AZ

Practice address

9150 W Indian School Rd Ste 105
Phoenix, AZ 85037-2385

Phone

(480) 787-5387

Fax

(623) 232-3250

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sonoran Sun Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Surprise, AZ
  • NPI 1407384993
  NPD (past)
• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817
  NPD (past)
• Therapy Tree Group PLLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1689385973
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1780242669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372385",
            "telephone_number": "480-787-5387",
            "fax_number": "623-232-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372385",
            "telephone_number": "480-787-5387",
            "fax_number": "623-232-3250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Marbella Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336197906",
            "country_code": "US",
            "telephone_number": "813-341-2726",
            "fax_number": "813-341-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "CAITLIN",
        "middle_name": "NICOLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20075",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Jean
• Nicholas Xavier Jebaily, MD
• Delaney Rae Jecmen
• Krista Marie Jeddi, FNP
• Roy Jedeikin, MD
• Alyssa Jeffers, RD
• Monica Nassim Jeffers, NMD, FNP-C
• Maria Jefferson-Walker, APRN
• Jeffery a Kohler, DDS, PC
• Jeffery B. Stires, D.C., P.C.

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.