Individual provider Active NPI

Joshua Luke Macdonald, MSOTR/L

  • Hand Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1376704593
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
2782 Issued in AZ
Practice address
9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005
Phone
(623) 226-8804
Fax
(602) 532-7839
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2782 AZ
Hand Occupational Therapist 225XH1200X 2782 AZ Primary

Addresses

Primary practice location

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005

Mailing address

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005
Phone (623) 226-8804

Other practice location 1

14535 W Indian School Rd
# 100
Goodyear, AZ 85395-9262
Phone (623) 242-6908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023001757 AZ Practitioner - Occupational Therapist in Private Practice 7810118494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Therapy Partners LLCGroup PAC ID 0840513487, 7 clinicians

Practice addresses (Care Compare)

9130 W Thomas Rd
Suite a 105
Phoenix, AZ 85037-3377
Phone (623) 226-8804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2782AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy Partners, LLC Occupational Therapist CurrentSince Jan 15, 2015 Accepting new patients
Hand Therapy Partners LLC Occupational Therapist CurrentSince Jan 15, 2015 Accepting new patients
Therabee Inc Current Accepting new patients

Locations

9980 W Glendale Ave
Ste 110
Glendale, AZ 85307
Phone (623) 226-8804

430 N Dobson Rd
Ste 103
Mesa, AZ 85201
Phone (480) 565-2276

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

522 N Central Ave
Unit 679
Phoenix, AZ 85001

9130 W Thomas Rd
Ste A-105
Phoenix, AZ 85037
Phone (623) 226-8804

Organizations & group practices 3

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376704593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-226-8804",
            "fax_number": "602-532-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-226-8804",
            "fax_number": "602-532-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14535 W Indian School Rd",
            "address_2": "# 100",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853959262",
            "country_code": "US",
            "telephone_number": "623-242-6908",
            "fax_number": "623-242-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JOSHUA",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "2782",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.