Sean Bruce Irwin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007705 Issued in AZ

Practice address

21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717

Phone

(602) 726-2300

NPI assigned

Feb 19, 2019

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Theraplay4Kidz, LLC

  dba Arizona Autism

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798
  Medicare reassignment NPD
• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1225594807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40143 N WESTRAY WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408416",
            "telephone_number": "480-544-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272717",
            "telephone_number": "602-726-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "SEAN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Franklin Irwin Sr., M.D.
• Gerald Irwin
• Jaclyn Ann Jones Irwin, M.D.
• Jessica Marie Irwin, BCBA
• Sandra Lynn Irwin
• Isaac Howard DDS PLLC (Lookout Mountain Family Dentistry)
• Isaac School District No. 5
• Isaac Schools District #5
• Angie Johnson Isaac, ED.S.
• Daniel Edward Isaac, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.

Verify at the official NPI Registry.