Organization Active NPI

Dash Ahead Therapy

  • Early Intervention Provider Agency
  • Fremont, CA
National Provider Identifier
1003365677
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT6071 Issued in CA
Legal business name
DASH AHEAD THERAPY
Practice address
40231 Hacienda CT
Fremont, CA 94539-3607
Phone
(510) 497-4049
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Soux Hancock
Title
Co-Owner
Phone
(510) 497-4049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X OT3300 CA
Early Intervention Provider Agency 252Y00000X OT6071 CA Primary

Addresses

Primary practice location

40231 Hacienda CT
Fremont, CA 94539-3607

Mailing address

40231 Hacienda CT
Fremont, CA 94539-3607

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1003365677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40231 HACIENDA CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40231 HACIENDA CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393607",
            "telephone_number": "510-497-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH AHEAD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SOUX",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-497-4049"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "OT3300",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "OT6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.