Individual provider Active NPI

Tina Troy Hostetter, MS, OTR/L

  • Occupational Therapist
  • Fountain Hills, AZ
National Provider Identifier
1881839850
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2616 Issued in AZ
Practice address
16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440
Phone
(480) 837-4565
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2616 AZ Primary

Addresses

Primary practice location

16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440

Mailing address

2940 E Banner Gateway Dr Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2616AZMDOccupational Therapist
2818AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Student Therapies and Resource Services Past Accepting new patients
Physical Rehabilitation and Hand Centers Inc Occupational Therapist Past Accepting new patients
Physical Rehabilitation and Hand Centers Inc Occupational Therapist Past Accepting new patients
Physical Rehabilitation & Hand Centers Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1881839850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR SUITE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342177",
            "telephone_number": "480-813-7900",
            "fax_number": "480-813-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16428 E KINGSTREE BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685440",
            "telephone_number": "480-837-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "TINA",
        "middle_name": "TROY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.