DARRELL LARRY (NPI# 1346616596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346616596 |
| Entity Type | Individual |
| Full Name | DARRELL LARRY |
| Credential | OTR |
| Practice Address |
1640 Redstone Center Dr Suite 200 Park City UT 84098-7605 |
| Practice Telephone | 3123010411 |
| Mailing Telephone | 3123010411 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4285 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1640 REDSTONE CENTER DR SUITE 200 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255470779 | Sheetal Yogesh Jhaveri | Physical Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2007-02-05 |
| 1518593110 | Bertram Pride | Licensed Practical Nurse | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2020-03-16 |
| 1356988141 | Janet Mary Barmeier | Speech-Language Pathologist | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2019-11-29 |
| 1346806551 | Shabrittany Williams | Physical Therapy Assistant | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2019-05-13 |
| 1336508696 | Kate Wigman | Physical Therapy Assistant | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2016-02-15 |
| 1811368087 | Laura Ely | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2015-10-14 |
| 1699174615 | Jasima Reynolds | Home Health | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2014-08-14 |
| 1609275809 | Ryan Robert Holzum | Physical Therapist | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2014-08-14 |
| 1518215821 | Mona Kazemi | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2012-08-16 |
| 1114289386 | Dana P. Nelson | Occupational Therapy Assistant | 1640 Redstone Center Dr, Suite #200, Park City, UT 84098-7605 | 2012-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
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| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767710 | Ability Ot LLC | Occupational Therapist | 3014 Homestead Rd, Park City, UT 84098-4835 | 2020-10-11 |
| 1790300499 | Able Care Mobile Therapy LLC | Occupational Therapist | 2546 E Ventnor St, Park City, KS 67219-1751 | 2020-06-09 |
| 1679997639 | Garry Clifton | Occupational Therapist | 3613 Sunridge Dr, Park City, UT 84098-4660 | 2014-02-12 |
| 1235467317 | Stephanie Anne Polukoff | Occupational Therapist | 4910 Bear View Dr, Park City, UT 84098-8553 | 2009-11-30 |
| 1952598021 | Pamela Hope Haus | Occupational Therapist | 1640 West Redstone Center Drive, Suite 200, Park City, UT 84098 | 2007-10-02 |
| 1154963288 | Advanced Pt, LLC | Occupational Therapist | 1755 E 61st St N, Park City, KS 67219-1917 | 2019-10-10 |
| 1912428186 | Rachel Bittenson | Occupational Therapist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2017-06-28 |
| 1871034538 | Carla Ortiz | Occupational Therapist | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2017-03-14 |
| 1811368087 | Laura Ely | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2015-10-14 |
| 1518215821 | Mona Kazemi | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2012-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.