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NPI Code Detail

MEDICARE: THE OPPORTUNITY TREE

MEDICARE: THE OPPORTUNITY TREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548878556
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE OPPORTUNITY TREE
Provider Business Mailing Address
First Line : 3146 E WINDSOR AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1135
Country : US
Telephone Number : 602-956-0400
Fax Number :
Provider Business Practice Location Address
First Line : 3146 E WINDSOR AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-1135
Country : US
Telephone Number : 602-956-0400
Fax Number :
Authorized Official
Title or Position : CFO
Name : MS. RACHEL A JOHNSON
Credential : CPA
Telephone Number : 602-956-0400
Provider Enumeration Date : 07/15/2020
Last Update Date : 12/09/2025

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Directions to “THE OPPORTUNITY TREE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.