Active NPI
Audrey Neal, MS, OTR/L
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1790144525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6476
- Practice address
- 1320 S Val Vista Dr
Apt 2012
Mesa, AZ 85204-6413 - Phone
- (870) 613-6346
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6476 | AZ | Primary |
Addresses
Primary practice location
1320 S Val Vista Dr
Apt 2012
Mesa, AZ 85204-6413
Mailing address
1320 S Val Vista Dr
Apt 2012
Mesa, AZ 85204-6413
Phone (870) 613-6346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6476 | Other | AZ | ARIZONA STATE BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6476 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, LLC | Current | Accepting new patients | |
| Mentis Reo, LLC. | Current | Accepting new patients | |
| Bridges Therapy Group, PLLC | Past | Accepting new patients |
Locations
690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366
Organizations & group practices 3
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.
-
- Developmental Disabilities Clinic/Center
- Gilbert, AZ
- NPI 1609541283
-
- Hearing and Speech Clinic/Center
- Mesa, AZ
- NPI 1972659399
-
- Pediatric Physical Therapist
- Fayetteville, AR
- NPI 1023501103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1790144525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S VAL VISTA DR",
"address_2": "APT 2012",
"city": "MESA",
"state": "AZ",
"postal_code": "852046413",
"telephone_number": "870-613-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S VAL VISTA DR",
"address_2": "APT 2012",
"city": "MESA",
"state": "AZ",
"postal_code": "852046413",
"telephone_number": "870-613-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "AUDREY",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "6476",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.