Individual provider Active NPI

Richard Edward Verdun, MS OTR/L

  • Occupational Therapist
  • Pompano Beach, FL
National Provider Identifier
1255621736
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14349 Issued in FL
Practice address
1371 S Ocean Blvd
Pompano Beach, FL 33062-7130
Phone
(954) 545-7155
Fax
(954) 946-6604
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14349 FL Primary

Addresses

Primary practice location

1371 S Ocean Blvd
Pompano Beach, FL 33062-7130

Mailing address

11171 NW 21St St
Pompano Beach, FL 33071-5734
Phone (954) 545-7155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829001047 FL Practitioner - Occupational Therapist in Private Practice 1850830225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT FL LLCGroup PAC ID 7810395696, 55 clinicians

Practice addresses (Care Compare)

Sarasota, FL 34238
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14349FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab OT FL LLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3882 Central Sarasota Pkwy
Sarasota, FL 34238
Phone (941) 282-7965

7 Carnegie Plz
Cherry Hill, NJ 08003

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1255621736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11171 NW 21ST ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330715734",
            "telephone_number": "954-545-7155",
            "fax_number": "954-946-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 S OCEAN BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627130",
            "telephone_number": "954-545-7155",
            "fax_number": "954-946-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDUN",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.