Active NPI
Sharran Liesel Huynh, OT
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1811197148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-004491
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744610 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-004491 | AZ | MD | Occupational Therapist |
| 10509 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Pet, LLC | Past | Accepting new patients | |
| Landmark Physical Therapy, PLLC | Past | Accepting new patients | |
| Desert Valley Pediatric Therapy | Past | 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.
-
- Specialist
- Phoenix, AZ
- NPI 1528209830
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1437471513
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
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.