TRACEY STAR DALY-GOLDBERG (NPI# 1568504884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568504884 |
| Entity Type | Individual |
| Full Name | TRACEY STAR DALY-GOLDBERG |
| Credential | OTR L |
| Practice Address |
4030 E Agave Rd Phoenix AZ 85044-0608 |
| Practice Telephone | 4802390553 |
| Mailing Telephone | 4802390553 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3114 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 795817 | 05 |
| Street Address |
4030 E AGAVE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382499 | Alexandra Contreras | Occupational Therapist | 123 W South Mountain Ave, Phoenix, AZ 85041-8102 | 2020-09-25 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1780299958 | Carly Jo Glazier-kersavage | Occupational Therapist | 4225 E Mcdowell Rd Apt 2093, Phoenix, AZ 85008-7472 | 2020-09-14 |
| 1437763513 | Shannon Siemsen | Occupational Therapist | 3011 N 26th St, Phoenix, AZ 85016-7921 | 2020-09-04 |
| 1215540513 | Elissa Marie Leyvas Van Horn | Occupational Therapist | 3237 E Maldonado Dr, Phoenix, AZ 85042-6115 | 2020-08-26 |
| 1679186399 | Rachel Grace Mahon | Occupational Therapist | 15215 S 48th St Ste 145, Phoenix, AZ 85044-9138 | 2020-08-24 |
| 1396384061 | The Little Foundation, LLC | Occupational Therapist | 2745 W Charleston Ave, Phoenix, AZ 85053-1719 | 2019-12-30 |
| 1871132530 | Kristi Sobeck | Occupational Therapist | Synertx Rehab, 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 | 2019-12-29 |
| 1023656196 | Matthew Figgins | Occupational Therapist | 15215 S 48th St Unit 145, Phoenix, AZ 85044-9142 | 2019-12-19 |
| 1366089096 | Kyle Bradley Burklund | Occupational Therapist | 6550 W Andrea Dr, Phoenix, AZ 85083-6518 | 2019-12-02 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.