IndividualActive
Jamae' Kmak, MS OTR/L
NPI 1558763532 · Early Intervention Provider Agency · Peoria, AZ
Jamae' Kmak, MS OTR/L is a Early Intervention Provider Agency provider in Peoria, AZ (NPI 1558763532).
Provider details
- NPI number
- 1558763532
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- MS OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5945 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17300 N 88th Ave
Peoria, AZ 85382-3501
Phone: (602) 290-4880
Street-level locationGet directions
Mailing address
140 E Coral Gables Dr
Phoenix, AZ 85022-3690
Additional practice locations (1)
- 4045 E Union Hills Dr Ste 110Phoenix, AZ 85050-3389Phone: (602) 595-0074
Registry dates
- Enumerated
- 2014-09-21
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is Jamae' Kmak's NPI number?
- Jamae' Kmak's National Provider Identifier (NPI) is 1558763532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamae' Kmak's specialty?
- Jamae' Kmak is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).
- Where is Jamae' Kmak located?
- Jamae' Kmak's practice location on file with NPPES is 17300 N 88th Ave, Peoria, AZ 85382-3501.
- What is Jamae' Kmak's phone number?
- The practice phone number listed in the NPPES registry for Jamae' Kmak is (602) 290-4880.
- Is Jamae' Kmak's NPI active?
- Yes — Jamae' Kmak's NPI (1558763532) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.