Active NPI
Darrin M Hurdsman
- Occupational Therapist
- Henderson, NV
National Provider Identifier
1639161920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2424
- Practice address
- 400 N Stephanie St Ste 310
Henderson, NV 89014-6608 - Phone
- (702) 454-1162
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 352637-2401 | UT | |
| Occupational Therapist | 225X00000X | OT-2424 | NV | Primary |
Addresses
Primary practice location
400 N Stephanie St Ste 310
Henderson, NV 89014-6608
Mailing address
400 N Stephanie St Ste 310
Henderson, NV 89014-6608
Phone (702) 454-1162
Other practice location 1
1532 E 1450 S
Saint George, UT 84790-6124
Phone (435) 628-5150
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2424 | NV | MD | Occupational Therapist |
| 352637-2401 | UT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Physical Therapy | Occupational Therapist | Current | Accepting new patients |
| Multicare Health System | Occupational Therapist | Past | Accepting new patients |
Locations
377 N Fairgrounds Rd
Ste 4
Price, UT 84501
Phone (435) 613-1500
590 E 100 N
Ste 1
Price, UT 84501
Phone (435) 613-1500
Organizations & group practices 2
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": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1639161920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N STEPHANIE ST STE 310",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146608",
"telephone_number": "702-454-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N STEPHANIE ST STE 310",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146608",
"telephone_number": "702-454-1162"
}
],
"practiceLocations": [
{
"address_1": "1532 E 1450 S",
"address_purpose": "LOCATION",
"city": "Saint George",
"state": "UT",
"postal_code": "847906124",
"country_code": "US",
"telephone_number": "435-628-5150",
"fax_number": "435-656-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURDSMAN",
"first_name": "DARRIN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "352637-2401",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-2424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.