CHRIS CHANTHABANDITH OTR/L
NPI 1104407915
Occupational Therapist in Fountain Hills, AZ

Active since April 15, 2021
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268(480) 837-4565 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2024, Apr 15, 2021 (2 updates tracked since 2021).

About Chris Chanthabandith Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRIS CHANTHABANDITH OTR/L (NPI 1104407915) is an individual occupational therapist in Fountain Hills, Arizona, licensed in Arizona (OTH-008389) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104407915
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCHRIS CHANTHABANDITHCredential: OTR/L
Location Address17100 E SHEA BLVD STE 600Fountain Hills, AZ 85268-6663
Mailing Address11825 N 25th Pl Apt 301Phoenix, AZ 85028-6500 · (616) 635-9722
Sole ProprietorNo
Enumeration DateApril 15, 2021
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1104407915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in AZ · OTH-008389
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
17100 E SHEA BLVD STE 600, Fountain Hills, AZ 85268

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chris Chanthabandith Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Chris Chanthabandith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1601 W QUEEN CREEK RD
Chandler, AZ 85248
  • Reassigned Medicare billing, Arizona enrollment
  • 39 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Psychologist (School)
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Physical Therapist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268
Speech-Language Pathologist
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chris Chanthabandith's NPI number?

The NPI number for Chris Chanthabandith is 1104407915. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Chris Chanthabandith located?

Chris Chanthabandith practices at 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268. The listed phone number is (480) 837-4565.

What is Chris Chanthabandith's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Chris Chanthabandith enrolled in Medicare?

Yes. Chris Chanthabandith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chris Chanthabandith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chris Chanthabandith reassigns Medicare benefits to Legacy Healthcare Services Inc (Chandler, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chris Chanthabandith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chris Chanthabandith was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.