Active NPI
Reach for the Stars Pediatric Therapy PLLC
- Occupational Therapist
- Peoria, AZ
National Provider Identifier
1962994012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- REACH FOR THE STARS PEDIATRIC THERAPY PLLC
- Practice address
- 8662 W Lariat LN
Peoria, AZ 85383 - Phone
- (847) 962-9154
- Fax
- (623) 594-4229
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tara Rivera-Armstrong, MOTR/L
- Title
- Owner
- Phone
- (602) 828-1966
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
8662 W Lariat LN
Peoria, AZ 85383
Mailing address
8662 W Lariat LN
Peoria, AZ 85383
Phone (847) 962-9154
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1962994012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8662 W LARIAT LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85383",
"telephone_number": "847-962-9154",
"fax_number": "623-594-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8662 W LARIAT LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85383",
"telephone_number": "847-962-9154",
"fax_number": "623-594-4229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACH FOR THE STARS PEDIATRIC THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "RIVERA-ARMSTRONG",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-828-1966",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MOTR/L"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.