Active NPI
Dena Marie Humphrey, COTA/L
- Occupational Therapy Assistant
- Tucson, AZ
National Provider Identifier
1952986796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-046714
- Practice address
- 2250 N Craycroft Rd
Tucson, AZ 85712-2802 - Phone
- (520) 733-8700
- NPI assigned
- Mar 12, 2021
- Last updated
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA-046714 | AZ | Primary |
Addresses
Primary practice location
2250 N Craycroft Rd
Tucson, AZ 85712-2802
Mailing address
1500 E Pusch Wilderness Dr Unit 12107
Oro Valley, AZ 85737-6045
Phone (347) 581-6616
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-046714 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1952986796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E PUSCH WILDERNESS DR UNIT 12107",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857376045",
"telephone_number": "347-581-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122802",
"telephone_number": "520-733-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "DENA",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "OTA-046714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Lauren E Hummell, PT, DPT.
- Rebecca Bleich Hummer, NP-C
- Hummingbird Healthcare LLC (Emblem Hospice Tucson)
- Rebecca Humpal, ARNP
- Brenda Lee Humphrey, COTA
- Eric James Humphrey, PA-C
- Jason M Humphrey, P.A.-C.
- Kimberly Jo Humphreys
- Kristen Taranto Humphries, PT, DPT, ATC, LAT
- Jeffrey William Hums, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.