Individual provider Active NPI

Jaclyn Belfiore, OT

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1962199091
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006845 Issued in AZ
Practice address
7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259
Phone
(602) 535-8255
Fax
(602) 535-8254
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006845 AZ Primary

Addresses

Primary practice location

7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259

Mailing address

7310 N 16TH St Ste 100
Phoenix, AZ 85020-5259
Phone (602) 535-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523002235 AZ Practitioner - Occupational Therapist in Private Practice 5991161507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Therapy LLCGroup PAC ID 9436288636, 13 clinicians

Practice addresses (Care Compare)

7310 N 16TH St
Phoenix, AZ 85020-5258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Therapy LLC CurrentSince Apr 17, 2023 Accepting new patients

Locations

7310 N 16th St
Ste 100
Phoenix, AZ 85020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1962199091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205259",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205259",
            "telephone_number": "602-535-8255",
            "fax_number": "602-535-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELFIORE",
        "first_name": "JACLYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "006845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.

Verify at the official NPI Registry.