Richard Brian Staudt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0883 Issued in AZ

Practice address

1108 N Camelot Dr
Payson, AZ 85541-3302

Phone

(928) 468-2333

NPI assigned

Jul 22, 2005

Last updated

Oct 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restored Hope Hand Therapy LLCGroup PAC ID 8921480146, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restored Hope Hand Therapy, LLC

  dba Restored Hope Hand Therapy

  • Hand Occupational Therapist
  • Prescott, AZ
  • NPI 1740934587
  Medicare reassignment Care Compare group NPD
• Arizona Hand and Physical Rehab LLC

  • Hand Occupational Therapist
  • Prescott, AZ
  • NPI 1659549194
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1144220948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N CAMELOT DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413302",
            "telephone_number": "928-468-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N CAMELOT DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413302",
            "telephone_number": "928-468-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDT",
        "first_name": "RICHARD",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50033509",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Behavioral Health Services Inc
• Southwest Behavioral Health Services Inc.
• Corinne Maryssa Spires
• Mason Alden Standifird, FNP
• Statclinix PLC (StatClinix - Payson)
• Donna S. Steckal, PH.D.
• Marjorie J Strickland, MHR
• Clinton Brent Stuart, DDS
• Elizabeth Ann Summers, D.C.
• Linda Ann Swartwood, RN

• Occupational Therapist in Payson, AZ
• Providers in Payson, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.