Active NPI
Tori Jae Wickham
- Occupational Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3160 N Arizona Ave Ste 106
Chandler, AZ 85225-7122 - Phone
- (480) 699-4845
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
3160 N Arizona Ave Ste 106
Chandler, AZ 85225-7122
Mailing address
4225 Guadalupe St
Austin, TX 78751-4224
Phone (737) 204-0089
Other practice location 1
4225 Guadalupe St
Austin, TX 78751-4224
Phone (737) 204-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3160 N Arizona Ave
Suite 106
Chandler, AZ 85225-7122
Phone (480) 699-4845
4225 Guadalupe St
Austin, TX 78751-4224
Phone (737) 204-0089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Neurologic Rehabilitation | Current | Accepting new patients | |
| Spero Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Advanced Neurologic Rehabilitation | Current | Accepting new patients |
Locations
3160 N Arizona Ave
Ste 106
Chandler, AZ 85225
Phone (480) 699-4845
3961 E Guadalupe Rd
Ste 1
Gilbert, AZ 85234
Phone (480) 699-4845
4225 Guadalupe St
Austin, TX 78751
Phone (737) 204-0089
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1922482017
-
- Rehabilitation Clinic/Center
- Gilbert, AZ
- NPI 1518688746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1992529655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GUADALUPE ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514224",
"telephone_number": "737-204-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 N ARIZONA AVE STE 106",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257122",
"telephone_number": "480-699-4845"
}
],
"practiceLocations": [
{
"address_1": "4225 Guadalupe St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787514224",
"country_code": "US",
"telephone_number": "737-204-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICKHAM",
"first_name": "TORI",
"middle_name": "JAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"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 Apr 17, 2026; 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.