Individual provider Active NPI

Carol Lee Phelan-Smith, OTR/L CHT

  • Hand Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1912179367
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0610 Issued in AZ
Practice address
1921 W Hospital Dr
Healthsouth Rehab Hospital
Tucson, AZ 85704-7806
Phone
(520) 544-5442
Fax
(520) 544-5430
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0610 AZ Primary

Addresses

Primary practice location

1921 W Hospital Dr
Healthsouth Rehab Hospital
Tucson, AZ 85704-7806

Mailing address

PO Box 90162
Tucson, AZ 85752-0162
Phone (520) 579-0078

Other identifiers 2

IdentifierTypeStateIssuer
0610OtherAZOCCUPATIONAL THERAPIST
9105000884OtherAZCERTIFIED HAND THERAPIST

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
0610AZMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1912179367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90162",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857520162",
            "telephone_number": "520-579-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W HOSPITAL DR",
            "address_2": "HEALTHSOUTH REHAB HOSPITAL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047806",
            "telephone_number": "520-544-5442",
            "fax_number": "520-544-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN-SMITH",
        "first_name": "CAROL",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "OTR/L  CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "0610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "0610",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAND THERAPIST",
            "identifier": "9105000884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.