Nicholetta Fortunato-Tamayo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007625 Issued in AZ

Practice address

1828 E Florence Blvd
Casa Grande, AZ 85122-4783

Phone

(520) 381-6300

NPI assigned

Feb 20, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1285271684
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1831655331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S COLT DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852967344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224783",
            "telephone_number": "520-381-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO-TAMAYO",
        "first_name": "NICHOLETTA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Fonutchi
• Jay D Ford, FNP
• Forever Place Behavioral LLC
• Mehdi Foroogozar, HAD
• Darrin N Forsyth, CEP
• Claude Carl Fosdick, M.D.
• Dawn M Franklin, PHARM.D.
• Andrea Theresa Frantz, APRN
• Katlyn Marie Frazier, RN
• Carrie Freeland, RN

• Occupational Therapist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.