Provider Demographics
NPI:1184612459
Name:SCHOFIELD, KATHERINE A (OTRL CHT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:A
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:OTRL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N COFCO CENTER CT
Mailing Address - Street 2:STE 260
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008
Mailing Address - Country:US
Mailing Address - Phone:602-279-6905
Mailing Address - Fax:888-445-4263
Practice Address - Street 1:10250 N 92ND ST
Practice Address - Street 2:STE 112
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4510
Practice Address - Country:US
Practice Address - Phone:480-661-7779
Practice Address - Fax:888-445-4263
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0509225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ192071Medicaid
AZDF7521OtherRAILROAD MEDICARE GROUP NUMBER
AZP54931Medicare UPIN
AZ1396819546Medicare NSC
AZ1164581427Medicare NSC
AZ5824180005Medicare NSC
AZZ113264Medicare PIN
AZ69451Medicare PIN
AZ192071Medicaid
AZ1881809499Medicare NSC
AZ113182Medicare PIN