Active NPI
Jeremy B Radmall, OTR/L
- Occupational Therapist
- Farr West, UT
National Provider Identifier
1164308128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106004410-4201
- Practice address
- 2850 N 2000 W Ste 107
Farr West, UT 84404-9230 - Phone
- (801) 689-2389
- Fax
- (801) 689-3215
- NPI assigned
- Aug 14, 2025
- Last updated
- Aug 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106004410-4201 | UT | Primary |
Addresses
Primary practice location
2850 N 2000 W Ste 107
Farr West, UT 84404-9230
Mailing address
1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Phone (801) 689-2389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 W 300
Logan, UT 84321-3809
Phone (435) 716-8535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106004410-4201 | UT | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
dba Sunshine Terrace Outpatient Therapy
- Physical Therapist
- Logan, UT
- NPI 1306000856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1164308128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1992 W ANTELOPE DR STE 1D",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414974",
"telephone_number": "801-689-2389",
"fax_number": "801-689-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 N 2000 W STE 107",
"city": "FARR WEST",
"state": "UT",
"postal_code": "844049230",
"telephone_number": "801-689-2389",
"fax_number": "801-689-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADMALL",
"first_name": "JEREMY",
"middle_name": "B",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "106004410-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farr West, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.