Individual provider Active NPI

Sharran Liesel Huynh, OT

  • Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1811197148
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-004491 Issued in AZ
Practice address
3875 E Williams Field Rd Ste 201
Gilbert, AZ 85295-8700
Phone
(480) 704-5954
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-004491 AZ Primary
Occupational Therapist 225X00000X 10509 CA

Addresses

Primary practice location

3875 E Williams Field Rd Ste 201
Gilbert, AZ 85295-8700

Mailing address

3875 E Williams Field Rd Ste 201
Gilbert, AZ 85295-8700
Phone (480) 704-5954

Other identifiers 1

IdentifierTypeStateIssuer
744610MedicaidAZ

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

State licenses

LicenseStateTypeSpecialty
OTH-004491AZMDOccupational Therapist
10509CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Pet, LLC PastSince Jan 11, 2018 Accepting new patients
Landmark Physical Therapy, PLLC Past Accepting new patients
Desert Valley Pediatric Therapy PastSince Mar 6, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1811197148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958700",
            "telephone_number": "480-704-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958700",
            "telephone_number": "480-704-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "SHARRAN",
        "middle_name": "LIESEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-004491",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744610",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.