Individual provider Active NPI

Richard Barron, OTD

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1790357549
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008509 Issued in AZ
Practice address
5757 W Thunderbird Rd Ste 465
Glendale, AZ 85306-4650
Phone
(602) 843-9945
Fax
(602) 843-8775
NPI assigned
Jul 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 008509 AZ Primary
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

5757 W Thunderbird Rd Ste 465
Glendale, AZ 85306-4650

Mailing address

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 279-6905

Other practice location 1

9225 N 3rd St
Phoenix, AZ 85020-2439
Phone (602) 861-1218

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
008509AZMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1790357549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE 465",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064650",
            "telephone_number": "602-843-9945",
            "fax_number": "602-843-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202439",
            "country_code": "US",
            "telephone_number": "602-861-1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRON",
        "first_name": "RICHARD",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "008509",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.