Earth Angels Therapy, LLC
Occupational Therapist, Pediatrics in Peoria, AZ. Organization (NPI-2).
Details
- NPI
- 1972603454
- Entity type
- Organization (NPI-2)
- Legal business name
- Earth Angels Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2006
- Last updated
- Aug 2, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 0311 | AZ | Yes |
Practice location
10101 N 91st Ave#112
Peoria, AZ 85345-8335
Phone 623-521-5387 · Fax 866-896-0786
Mailing address
10101 N 91st Ave#112
Peoria, AZ 85345-8335
Phone 623-521-5387 · Fax 866-896-0786
Authorized official
Nancy Ann Palatnik
Owner
6235215387
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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