Active NPI
Donald R Hosenfeld, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1205057189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3484
- Practice address
- 6207 N 22ND Ave
Phoenix, AZ 85015-1904 - Phone
- (480) 559-3313
- NPI assigned
- May 1, 2007
- Last updated
- Nov 11, 2024
- 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 | 3484 | AZ | Primary |
Addresses
Primary practice location
6207 N 22ND Ave
Phoenix, AZ 85015-1904
Mailing address
6207 N 22ND Ave
Phoenix, AZ 85015-1904
Phone (480) 559-3313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959421 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3484 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1205057189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 N 22ND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151904",
"telephone_number": "480-559-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6207 N 22ND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151904",
"telephone_number": "480-559-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSENFELD",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2024-11-11",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "959421",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.