Individual provider Active NPI

Darius Redmond, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1427666833
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
21045 N 9TH PL
Phoenix, AZ 85024-5634
Phone
(602) 726-2300
NPI assigned
Jul 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

21045 N 9TH PL
Phoenix, AZ 85024-5634

Mailing address

2440 Vine St
Union City, GA 30291-6067

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dredmond@arizonaautism.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217002136 AZ Practitioner - Occupational Therapist in Private Practice 1557773447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Single Specialty CurrentSince Nov 20, 2020 Accepting new patients

Locations

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

21045 N 9th Pl
Phoenix, AZ 85024
Phone (602) 290-5230

7120 E Sahuaro Dr
Scottsdale, AZ 85254
Phone (480) 488-3946

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1427666833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 VINE ST",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21045 N 9TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245634",
            "telephone_number": "602-726-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "DARIUS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dredmond@arizonaautism.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "21045 N 9th Pl",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850245634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 21, 2020; 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.