Active NPI
Andrew Richter, MOT, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1669869616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6139
- Practice address
- 15830 N 35TH Ave
Suite 2
Phoenix, AZ 85053-7640 - Phone
- (602) 507-6989
- Fax
- (602) 507-6994
- NPI assigned
- Apr 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 6139 | AZ | Primary |
Addresses
Primary practice location
15830 N 35TH Ave
Suite 2
Phoenix, AZ 85053-7640
Mailing address
PO Box 4570
Scottsdale, AZ 85261-4570
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 |
|---|---|---|---|
| 105078 | MN | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1669869616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4570",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852614570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15830 N 35TH AVE",
"address_2": "SUITE 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850537640",
"telephone_number": "602-507-6989",
"fax_number": "602-507-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "ANDREW",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.