Active NPI
Chris Cardella, OT
- Occupational Therapist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-009013
- Practice address
- 790 N Estrella Pkwy Ste C
Goodyear, AZ 85338-9290 - Phone
- (602) 765-4348
- Fax
- (623) 233-6567
- NPI assigned
- Jul 5, 2016
- Last updated
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2879 | NC | |
| Occupational Therapist | 225X00000X | OTH-009013 | AZ | Primary |
Addresses
Primary practice location
790 N Estrella Pkwy Ste C
Goodyear, AZ 85338-9290
Mailing address
300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 277-3686
Other practice location 1
11200 Governor Manly Way
Raleigh, NC 27614-8599
Phone (919) 562-9410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
790 N Estrella Pkwy
Suite C
Goodyear, AZ 85338-9290
Phone (602) 765-4348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2879 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHT Hand Therapy Limited Partnership | Occupational Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Occupational Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Occupational Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Past | Accepting new patients |
Locations
5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263
790 N Estrella Pkwy
Ste C
Goodyear, AZ 85338
Phone (602) 765-4348
1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828
300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686
690 N Cofco Center Ct
Ste 260
Phoenix, AZ 85008
Phone (602) 279-6905
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Desert Hand Therapy
- Occupational Therapist
- Phoenix, AZ
- NPI 1629137997
-
dba Desert Hand and Physical Therapy
- Occupational Therapist
- Glendale, AZ
- NPI 1124187489
-
dba Desert Hand and Physical Therapy
- Occupational Therapist
- Phoenix, AZ
- NPI 1396819546
-
dba Desert Hand and Physical Therapy
- Physical Therapist
- Peoria, AZ
- NPI 1245982693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1942652839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 285",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133474",
"telephone_number": "602-277-3686",
"fax_number": "602-279-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 N ESTRELLA PKWY STE C",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389290",
"telephone_number": "602-765-4348",
"fax_number": "623-233-6567"
}
],
"practiceLocations": [
{
"address_1": "11200 Governor Manly Way",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276148599",
"country_code": "US",
"telephone_number": "919-562-9410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDELLA",
"first_name": "CHRIS",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2879",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-009013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.