Healthcare Provider Details

I. General information

NPI: 1558275867
Provider Name (Legal Business Name): SHAYLEE ELIZABETH SIPPLE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 W SANTA FE DR
SUN CITY AZ
85351-3036
US

IV. Provider business mailing address

10601 W SANTA FE DR
SUN CITY AZ
85351-3036
US

V. Phone/Fax

Practice location:
  • Phone: 623-832-7000
  • Fax:
Mailing address:
  • Phone: 623-832-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-010538
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTH-010538
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: