Individual provider Active NPI

Christine Daniele Jones, COTA

  • Occupational Therapy Assistant
  • Casa Grande, AZ
National Provider Identifier
1881297679
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
005007 Issued in AZ
Practice address
442 W Kortsen Rd Ste 202
Casa Grande, AZ 85122-5923
Phone
(520) 424-1102
Fax
(520) 413-5787
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 005007 AZ Primary

Addresses

Primary practice location

442 W Kortsen Rd Ste 202
Casa Grande, AZ 85122-5923

Mailing address

442 W Kortsen Rd Ste 202
Casa Grande, AZ 85122-5923
Phone (520) 424-1102

Other identifiers 1

IdentifierTypeStateIssuer
405735MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CJones@mcstherapy.org Direct

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

LicenseStateTypeSpecialty
005007AZMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: cjones@mcstherapy.org

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1881297679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W KORTSEN RD STE 202",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225923",
            "telephone_number": "520-424-1102",
            "fax_number": "520-413-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W KORTSEN RD STE 202",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225923",
            "telephone_number": "520-424-1102",
            "fax_number": "520-413-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTINE",
        "middle_name": "DANIELE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "005007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405735",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CJones@mcstherapy.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "442 W Kortsen Rd Ste 202",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851225923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.