Active NPI
Marissa Ann Jones
- Occupational Therapy Assistant
- Chandler, AZ
National Provider Identifier
1962261503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-050019
- Practice address
- 2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488 - Phone
- (480) 935-0614
- NPI assigned
- Mar 18, 2024
- Last updated
- Mar 18, 2024
- 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 Therapy Assistant | 224Z00000X | OTA-050019 | AZ | Primary |
Addresses
Primary practice location
2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488
Mailing address
4255 S Antonio
Mesa, AZ 85212-5111
Phone (385) 201-5882
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-050019 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Grulke, PLLC | Current | Accepting new patients |
Locations
2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1962261503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 S ANTONIO",
"city": "MESA",
"state": "AZ",
"postal_code": "852125111",
"telephone_number": "385-201-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 N ALMA SCHOOL RD STE 102",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242488",
"telephone_number": "480-935-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "OTA-050019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.