Individual provider Active NPI

Tori Jae Wickham

  • Occupational Therapist
  • Chandler, AZ
National Provider Identifier
1992529655
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250128000895 AZ Practitioner - Occupational Therapist in Private Practice 4183153760 Reassigns benefits to 1 organization
I20260427002410 TX Practitioner - Occupational Therapist in Private Practice 4183153760 Reassigns benefits to 1 organization

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
Advanced Neurologic RehabilitationGroup PAC ID 5395055859, 34 clinicians
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

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

OrganizationSpecialtyStatusNew patients
Advanced Neurologic Rehabilitation CurrentSince Nov 17, 2024 Accepting new patients
Spero Rehabilitation LLC Occupational Therapist CurrentSince May 26, 2026 Accepting new patients
Advanced Neurologic Rehabilitation CurrentSince Jan 15, 2025 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.

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.

Verify at the official NPI Registry.