Derek Chase Adams, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007833 Issued in AZ

Practice address

6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759

Phone

(480) 719-8080

Fax

(480) 981-8595

NPI assigned

Jul 24, 2019

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petersen Physical Therapy PCGroup PAC ID 5991794117, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petersen Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Tempe, AZ
  • NPI 1578673562
  Medicare reassignment Care Compare group NPD
• Carling Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1396882999
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1659924074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073759",
            "telephone_number": "480-719-8080",
            "fax_number": "480-981-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DEREK",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Adams-Covell, FNP-C
• Allison Adams
• Ashley Elizabeth Adams, M.ED., BCBA, LBA
• Bruce Keith Adams, M.D.
• Cynthia Rose Adams
• Ilea Marie Adams, BCBA
• Joshua Luke Adams, PA-C
• Konstantina E Adams, NMD
• Larry Dean Adams, DDS
• Lawrence Scott Adams, DDS

• Occupational Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.