Individual provider Active NPI

Catherine Condit, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Flagstaff, AZ
National Provider Identifier
1790539476
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589
Phone
(480) 787-5387
NPI assigned
Apr 17, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X AZ Primary

Addresses

Primary practice location

12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589

Mailing address

12115 N Peaks Pkwy
Flagstaff, AZ 86004-5589
Phone (623) 606-0883

Other practice location 1

123 W Birch Ave Ste 100
Flagstaff, AZ 86001-4508
Phone (928) 225-9655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Foundations Therapy PLLC CurrentSince Nov 24, 2024 Accepting new patients
Rebecca Pokluda, P.C. Pediatrics PastSince Apr 1, 2024 Accepting new patients
Therapy Tree, PLLC Pediatrics PastSince Oct 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1790539476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 N PEAKS PKWY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045589",
            "telephone_number": "623-606-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 N PEAKS PKWY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045589",
            "telephone_number": "480-787-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Birch Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014508",
            "country_code": "US",
            "telephone_number": "928-225-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDIT",
        "first_name": "CATHERINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.