Patricia M Rafferty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5463 Issued in AZ

Practice address

5033 Black Panther Loop
Pinetop, AZ 85935-8544

Phone

(480) 603-6331

NPI assigned

Nov 28, 2006

Last updated

May 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Brain Aging, LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1700437506
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1942376249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 BLACK PANTHER LOOP",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859358544",
            "telephone_number": "480-603-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 BLACK PANTHER LOOP",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859358544",
            "telephone_number": "480-603-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5463",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinetop Behavioral Health LLC
• Pinetop Medical Associates LTD (Blue Ridge Regional Clinic)
• Pinetop Treatment Center LLC
• Pinetop Volunteer Fire District
• R Alan Lee OD PC
• Re Centers of Arizona Inc
• Regina Ross, MD, PC
• Fain Richardson
• Naomi Schimmel
• Barbara Schoen, DDS

• Occupational Therapist in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; 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.