Active NPI
Regan Kaelle Liss, OT
- Occupational Therapist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-009566
- Practice address
- 10304 N Hayden Rd Ste 115
Scottsdale, AZ 85258-1218 - Phone
- (480) 429-5266
- Fax
- (480) 429-5297
- NPI assigned
- Feb 6, 2024
- Last updated
- Apr 3, 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 Therapist | 225X00000X | OTH-009566 | AZ | Primary |
Addresses
Primary practice location
10304 N Hayden Rd Ste 115
Scottsdale, AZ 85258-1218
Mailing address
1860 N 95TH LN Ste 105
Phoenix, AZ 85037-4333
Phone (480) 429-5266
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7165 E University Dr
Suite 143
Mesa, AZ 85207-6411
Phone (480) 218-9973
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-009566 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHT Hand Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Occupational Therapist | Current | Accepting new patients |
| Arizona Center for Hand Surgery PC | Current | Accepting new patients | |
| DHT Hand Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Arizona Center for Hand Surgery PC | Current | Accepting new patients |
Locations
2195 W Chandler Blvd
Ste 180
Chandler, AZ 85224
Phone (480) 963-9339
5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263
1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593
7165 E University Dr
Ste 143
Mesa, AZ 85207
Phone (480) 218-9973
15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188
1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828
3329 E Bell Rd
Ste A5
Phoenix, AZ 85032
370 E Virginia Ave
Ste 1
Phoenix, AZ 85004
370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988
10304 N Hayden Rd
Ste 115
Scottsdale, AZ 85258
Phone (480) 429-5266
Organizations & group practices 5
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
Physical Therapist
-
dba Arizona Center for Hand to Shoulder Surgery
- Surgery of the Hand (Surgery) Physician
- Phoenix, AZ
- NPI 1972502227
-
dba Arizona Center for Hand to Shoulder Surgery
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1467284828
-
dba Desert Hand and Physical Therapy
- Occupational Therapist
- Glendale, AZ
- NPI 1124187489
Physical Therapist
-
dba Desert Hand and Physical Therapy
- Occupational Therapist
- Phoenix, AZ
- NPI 1396819546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1962265421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 N 95TH LN STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374333",
"telephone_number": "480-429-5266",
"fax_number": "480-429-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10304 N HAYDEN RD STE 115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852581218",
"telephone_number": "480-429-5266",
"fax_number": "480-429-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "REGAN",
"middle_name": "KAELLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-009566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.