Active NPI
Carol S Van Duyne, OTR
- Occupational Therapist
- Broadview Heights, OH
National Provider Identifier
1003152380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003346
- Practice address
- 2801 E Royalton Rd
Broadview Heights, OH 44147-2827 - Phone
- (440) 526-4770
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- 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 | OT003346 | OH | Primary |
Addresses
Primary practice location
2801 E Royalton Rd
Broadview Heights, OH 44147-2827
Mailing address
8991 Highland Dr
Brecksville, OH 44141-2449
Phone (216) 375-8315
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1003152380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8991 HIGHLAND DR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412449",
"telephone_number": "216-375-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 E ROYALTON RD",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472827",
"telephone_number": "440-526-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DUYNE",
"first_name": "CAROL",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT003346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.