Active NPI
Jacob Chance Ayoub, OTD, OTR/L
- Occupational Therapist
- Surprise, AZ
National Provider Identifier
1861191769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008907
- Practice address
- 13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436 - Phone
- (480) 226-8212
- NPI assigned
- Feb 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-008907 | AZ | Primary |
Addresses
Primary practice location
13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436
Mailing address
13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436
Phone (480) 226-8212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008907 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Occupational Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Past | Accepting new patients |
Locations
1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Occupational Therapist
-
- Occupational Therapist
- Phoenix, AZ
- NPI 1629137997
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Occupational Therapist
-
- Physical Therapist
- Peoria, AZ
- NPI 1245982693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1861191769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13951 W GRAND AVE STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742436",
"telephone_number": "480-226-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13951 W GRAND AVE STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742436",
"telephone_number": "480-226-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYOUB",
"first_name": "JACOB",
"middle_name": "CHANCE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.