| Jaemey T Matherly, OTR/L | |
|
11224 E Raleigh Ave, Mesa, AZ 85212-4061 | |
| (480) 528-9978 | |
| Not Available |
| Full Name | Jaemey T Matherly |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 11224 E Raleigh Ave, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366206559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-009522 (Arizona) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | OTH-009522 (Arizona) | Primary |
| Provider Name | Amy Grulke Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316464795 PECOS PAC ID: 4284992538 Enrollment ID: O20171214003120 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaemey T Matherly, OTR/L 11224 E Raleigh Ave, Mesa, AZ 85212-4061 Ph: (480) 528-9978 | Jaemey T Matherly, OTR/L 11224 E Raleigh Ave, Mesa, AZ 85212-4061 Ph: (480) 528-9978 |
Sarah Ashley Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5210 E Hampton Ave, Apt 2127, Mesa, AZ 85206 Phone: 301-641-7433 | |
Peyton Stolle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd Ste 122, Mesa, AZ 85210 Phone: 480-855-0474 | |
Mary Ann Sheely, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 W Southern Ave, Ste 10, Mesa, AZ 85210 Phone: 480-835-0857 Fax: 480-898-0138 | |
Robert C Stidham Ii, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 704-831-5065 | |
Mrs. Rebecca Hughes, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6124 E Brown Rd, Ste. 102, Mesa, AZ 85205 Phone: 480-497-3285 Fax: 480-833-2513 | |
Maggie Miller, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 N Country Club Dr, Mesa, AZ 85201 Phone: 623-606-6355 | |
Samantha Klassen, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 551 S Higley Rd, Mesa, AZ 85206 Phone: 480-892-9777 Fax: 480-635-0222 |