Amy Michelle Jimenez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-046892 Issued in AZ

Practice address

2038 S Avoca Cir
Mesa, AZ 85209-6215

Phone

(480) 216-8840

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1922774652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 S AVOCA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096215",
            "telephone_number": "480-216-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 S AVOCA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096215",
            "telephone_number": "480-216-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-046892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jiaocma
• Moh'D Jibreel, MD
• Paul Ace Jim III, LCSW
• Jonathan Jimenez Flores, DPT
• Jose Manuel Jimenez-Cintron, MD
• Ashley Jimenez, SLPA
• Claudette Jimenez
• Hector R Jimenez
• Kristina Marie Jimenez, LMT
• Kirsten Hyean Jin

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.