Active NPI
Rhonda Dameron, OTR/L
- Occupational Therapist
- Park City, UT
National Provider Identifier
1437476348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0000003758
- Practice address
- 1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605 - Phone
- (866) 474-6677
- Fax
- (435) 645-0792
- NPI assigned
- May 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0000003758 | TN | Primary |
Addresses
Primary practice location
1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605
Mailing address
PO Box 210252
Nashville, TN 37221-0252
Phone (615) 730-6420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0000003758 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasima Reynolds | Past | Accepting new patients |
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.
-
- Home Health Agency
- Park City, UT
- NPI 1699174615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272672000000",
"number": "1437476348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210252",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372210252",
"telephone_number": "615-730-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 REDSTONE CENTER DR",
"address_2": "SUITE 200",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987605",
"telephone_number": "866-474-6677",
"fax_number": "435-645-0792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "RHONDA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-01",
"last_updated": "2010-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT0000003758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.