Mary Haynes, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1775 Issued in ND

Practice address

20470 N Lake Pleasant Rd Ste 107
Peoria, AZ 85382-9708

Phone

(623) 322-8250

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1992514467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-322-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-322-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15116 N Cotton Ln",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853889618",
            "country_code": "US",
            "telephone_number": "623-322-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MARY",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Hauptman, OD
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• Haven One-Eighty LLC
• Kasey Hawkinson, LAC
• Jack Hawks, DO
• HDP Fox Dental LLC
• Healing Touch Family Chiropractic, P.C.
• Healingfx LLC
• Health and Safety Consultants, LLC
• Health and Weight Loss at Your Door LLC

• Occupational Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.