Active NPI
Linda Sadiki Materu
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1871264952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008609
- Practice address
- 3700 N 24TH St Ste 130
Phoenix, AZ 85016-6535 - Phone
- (602) 903-4072
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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-008609 | AZ | Primary |
Addresses
Primary practice location
3700 N 24TH St Ste 130
Phoenix, AZ 85016-6535
Mailing address
3700 N 24TH St Ste 130
Phoenix, AZ 85016-6535
Phone (714) 989-0465
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008609 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Care Communications | Single Specialty | Current | Accepting new patients |
Locations
3700 N 24th St
Ste 130
Phoenix, AZ 85016
Phone (602) 903-4072
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1871264952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 N 24TH ST STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166535",
"telephone_number": "714-989-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N 24TH ST STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166535",
"telephone_number": "602-903-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATERU",
"first_name": "LINDA",
"middle_name": "SADIKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.