Active NPI
John Mitchell Galbraith, OTRL
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1801917448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2593
- Practice address
- 20402 N 15TH Ave
Phoenix, AZ 85027-3636 - Phone
- (623) 445-4952
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2593 | AZ | Primary |
Addresses
Primary practice location
20402 N 15TH Ave
Phoenix, AZ 85027-3636
Mailing address
3110 W Waltann LN
Phoenix, AZ 85053-3943
Phone (602) 789-0248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561614 | Medicaid | AZ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2593 | AZ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801917448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 W WALTANN LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850533943",
"telephone_number": "602-789-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20402 N 15TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273636",
"telephone_number": "623-445-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALBRAITH",
"first_name": "JOHN",
"middle_name": "MITCHELL",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "2593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561614",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.