Individual provider Active NPI

Logan Richardson, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1235819491
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-010369 Issued in AZ
Practice address
20330 N Cave Creek Rd Ste a-150
Phoenix, AZ 85024-4465
Phone
(602) 765-4338
Fax
(602) 765-4761
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 125113 TX
Occupational Therapist 225X00000X OTH-010369 AZ Primary

Addresses

Primary practice location

20330 N Cave Creek Rd Ste a-150
Phoenix, AZ 85024-4465

Mailing address

1860 N 95TH LN Ste 105
Phoenix, AZ 85037-4333
Phone (602) 765-4338

Other practice location 1

2001 N MacArthur Blvd Ste 550
Irving, TX 75061-2255
Phone (972) 990-8155

Other practice location 2

510 N Coit Rd Ste 2035
Richardson, TX 75080-5437
Phone (972) 437-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260619000943 AZ Practitioner - Occupational Therapist in Private Practice 8921570003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHT Hand Therapy Limited PartnershipGroup PAC ID 0547362691, 22 clinicians

Practice addresses (Care Compare)

20330 N Cave Creek Rd
Suite a 150
Phoenix, AZ 85024-4465
Phone (602) 765-4338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-010369AZMDOccupational Therapist
125113TXMDOccupational 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1235819491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N 95TH LN STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374333",
            "telephone_number": "602-765-4338",
            "fax_number": "602-765-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 N CAVE CREEK RD STE A-150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244465",
            "telephone_number": "602-765-4338",
            "fax_number": "602-765-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N MacArthur Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612255",
            "country_code": "US",
            "telephone_number": "972-990-8155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 N Coit Rd Ste 2035",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750805437",
            "country_code": "US",
            "telephone_number": "972-437-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LOGAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125113",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-010369",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 27, 2026; 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.