Individual provider Active NPI

Amber Rutt-Shepard, M.S., CCC-SLP, OTR L

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1841406485
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0271 Issued in AZ
Practice address
7957 W Rancho Dr
Glendale, AZ 85303-4523
Phone
(623) 772-6226
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 0271 AZ Primary
Speech-Language Pathologist 235Z00000X SLP0834 AZ

Addresses

Primary practice location

7957 W Rancho Dr
Glendale, AZ 85303-4523

Mailing address

7957 W Rancho Dr
Glendale, AZ 85303-4523
Phone (623) 772-6226

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0271AZMDOccupational Therapist
SLP0834AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841406485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 W RANCHO DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034523",
            "telephone_number": "623-772-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7957 W RANCHO DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034523",
            "telephone_number": "623-772-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT-SHEPARD",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0271",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.