Individual provider Active NPI

Darrin M Hurdsman

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1639161920
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2424 Issued in NV
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

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT-2424NVMDOccupational Therapist
352637-2401UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Physical Therapy Occupational Therapist CurrentSince Jul 1, 2004 Accepting new patients
Multicare Health System Occupational Therapist PastSince Nov 6, 2018 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.

Verify at the official NPI Registry.