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JASA DEFAZIO COTA/L
NPI 1740766567
Pediatrics - Neurodevelopmental Disabilities in Chandler, AZ

Active since July 15, 2018
2175 N ALMA SCHOOL RD STE A106, CHANDLER, AZ 85224(480) 855-0474 Get Directions Write a Review

NPPES record last updated: July 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jasa Defazio Cota/l NPPES

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

JASA DEFAZIO COTA/L (NPI 1740766567) is an individual neurodevelopmental disabilities provider in Chandler, Arizona, licensed in Arizona (OTA-046588) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1740766567
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameJASA DEFAZIOCredential: COTA/L
Location Address2175 N ALMA SCHOOL RD STE A106Chandler, AZ 85224-2882
Mailing Address7340 E Legacy Blvd Unit H4005Scottsdale, AZ 85255-6531 · (484) 400-1342
Phone(480) 855-0474
Sole ProprietorNo
Enumeration DateJuly 15, 2018
✔ NPI 1740766567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in AZ · OTA-046588
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
2175 N ALMA SCHOOL RD STE A106, Chandler, AZ 85224
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Other Identifiers 1

Other946932790PA · United Health Care

Other Providers at the Same Location NPPES 13

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

AMY CARR OTR/L
Occupational Therapist (Pediatrics)
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
JOLENE MARIE MARTINEZ
Occupational Therapy Assistant
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
MR. RICHARD STANLEY RANDALL P.T.
Physical Therapist
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 730-5656
TAYLOR MICHELLE URTEL PT, DPT
Physical Therapist (Pediatrics)
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
ANGELA WEBB COTA/L
Occupational Therapist (Pediatrics)
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
LAUREN COURTNEY GOBBLE OTR/L
Occupational Therapist (Pediatrics)
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
KELLY ANNE ALLEN
Speech-Language Pathologist
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (480) 855-0474
KALEIDOSCOPE FAMILY SOLUTIONS ABA INC.
Behavior Analyst
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224
Maricopa County (877) 222-0399

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 Jasa Defazio's NPI number?

The NPI number for Jasa Defazio is 1740766567. It was assigned to this individual provider in the NPPES registry on July 15, 2018.

Where is Jasa Defazio located?

Jasa Defazio practices at 2175 N Alma School Rd Ste A106, Chandler, AZ 85224. The listed phone number is (480) 855-0474.

What is Jasa Defazio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for Jasa Defazio was last updated on July 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.