Healthcare Provider Details

I. General information

NPI: 1558272310
Provider Name (Legal Business Name): CASSIDY KATIE SCHILLING OTD R/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 E WARNER RD
GILBERT AZ
85296-3054
US

IV. Provider business mailing address

6400 E THOMAS RD APT 2012
SCOTTSDALE AZ
85251-6070
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-6366
  • Fax:
Mailing address:
  • Phone: 805-630-6499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-010193
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: