Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micah Caudle, OTR/L

Individual provider Occupational Therapist · NPI 1366866295

Micah Caudle, OTR/L is an Occupational Therapist in Private Practice in Prescott, Arizona. Qualified in 2013, 13 years ago. Practices with Granite Orthopaedics PLLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
13
Licensed in
AZ, NV
In the registry since
2014
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1223 Willow Creed Rd
Prescott, AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3773 Baker Ln Ste 2, Reno, NV 89509-5488 — (775) 853-7513

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5674 (AZ)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence 14-0450 (NV)

Record details

NPI number1366866295
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 12, 2014
Last updated in NPPESAugust 9, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Granite Orthopaedics Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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