Active NPI
Mary Kay Ewald, OTR/L
- Occupational Therapist
- Queen Creek, AZ
National Provider Identifier
1952899064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3275
- Practice address
- 20715 E Ocotillo Rd Ste 103
Queen Creek, AZ 85142-6118 - Phone
- (480) 888-1558
- Fax
- (480) 888-1533
- NPI assigned
- Apr 24, 2018
- Last updated
- Sep 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3275 | AZ | Primary |
Addresses
Primary practice location
20715 E Ocotillo Rd Ste 103
Queen Creek, AZ 85142-6118
Mailing address
20715 E Ocotillo Rd Ste 103
Queen Creek, AZ 85142-6118
Phone (480) 888-1558
Other names 1
- Mary Kay Dunn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES AZ LLC |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Sun City, AZ 85373
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Physical Therapist
- Prescott, AZ
- NPI 1982329850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1952899064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20715 E OCOTILLO RD STE 103",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426118",
"telephone_number": "480-888-1558",
"fax_number": "480-888-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20715 E OCOTILLO RD STE 103",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426118",
"telephone_number": "480-888-1558",
"fax_number": "480-888-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWALD",
"first_name": "MARY",
"middle_name": "KAY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES AZ LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10101 W Palmeras Dr",
"city": "Sun City",
"state": "AZ",
"country_code": "US",
"postal_code": "853732046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "DUNN",
"middle_name": "KAY",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.