# ADAPTIVE HOME MODIFICATION AND DESIGN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588203954
- **Authorized official:** MATTHEW S DIXON OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (435) 313-2295

## Contact information

- **Practice address:** 2144 W RIVERS EDGE LN, SAINT GEORGE, UT 84770-1828
- **Practice address phone:** (435) 313-2295
- **Mailing address:** 2144 W RIVERS EDGE LN, SAINT GEORGE, UT 84770-1828
- **Mailing address phone:** (435) 313-2295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | — | NULL | — |
| 225XE0001X | Environmental Modification Occupational Therapist | — | — | — |
| 225XE1200X | Ergonomics Occupational Therapist | — | NULL | — |
| 225XE1200X | Ergonomics Occupational Therapist | — | — | — |
| 225XG0600X | Gerontology Occupational Therapist | — | NULL | — |
| 225XG0600X | Gerontology Occupational Therapist | — | — | — |
| 225XH1300X | Human Factors Occupational Therapist | — | NULL | — |
| 225XH1300X | Human Factors Occupational Therapist | — | — | — |
| 225XL0004X | Low Vision Occupational Therapist | — | NULL | — |
| 225XL0004X | Low Vision Occupational Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/02/2020
- **Last updated:** 01/02/2020