Garret Candelaria

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OTH-007836 Issued in AZ

Practice address

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005

Phone

(623) 226-8804

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, ID2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CSRM LLC

  dba Kestrel Therapy Group

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Hand Therapy Partners, LLC

  • Occupational Therapist
  • Mesa, AZ
  • NPI 1063831030
  Medicare reassignment NPD
• Hand Therapy Partners LLC

  • Hand Occupational Therapist
  • Scottsdale, AZ
  • NPI 1790511186
  NPD
• CSRM LLC

  dba Kestrel Therapy Group

  • Hand Occupational Therapist
  • Nampa, ID
  • NPI 1306583109
  NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1821640806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E VAN BUREN ST APT 1116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-226-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "GARRET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "OTH-007836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Diane Campbell
• Veronika Marie Campbell, PT, MPT, CSCS, NSC
• Jordan Canady, LAMFT
• Kendra Shari Canady, LAMFT
• James Canavan, M.D.
• Carol Cann
• Lisa Marie Cannoe, RPH
• Suzanna Cano-King, LAC
• Alexander John Cano
• Sonia Cano, MA, LAC

• Hand Occupational Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Hand Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.