Active NPI
Kiley Yurchak, OTR/L
- Occupational Therapist
- Fort Mohave, AZ
National Provider Identifier
1962321463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 5330 S Highway 95
Fort Mohave, AZ 86426-9225 - Phone
- (928) 788-2273
- NPI assigned
- Jul 10, 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 | Primary |
Addresses
Primary practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Mailing address
5330 S Highway 95
Fort Mohave, AZ 86426-9225
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1962321463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 S HIGHWAY 95",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 S HIGHWAY 95",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269225",
"telephone_number": "928-788-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURCHAK",
"first_name": "KILEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mohave, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.