Active NPI
Desiree Amelia Duke, OTD, OTR/L
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1003578766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22381
- Practice address
- 13505 Citicards Way Unit 4117
Jacksonville, FL 32258-6535 - Phone
- (904) 415-2581
- NPI assigned
- Oct 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 22381 | FL | |
| Occupational Therapist | 225X00000X | 22381 | FL | Primary |
Addresses
Primary practice location
13505 Citicards Way Unit 4117
Jacksonville, FL 32258-6535
Mailing address
13505 Citicards Way Unit 4117
Jacksonville, FL 32258-6535
Phone (904) 415-2581
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22381 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Development Therapy Group LLC | Occupational Therapist | Current | Accepting new patients |
| Genesis Rehabilitation Hospital, Inc. | Past | Accepting new patients | |
| Genesis Rehabilitation Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1538973169
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1003578766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13505 CITICARDS WAY UNIT 4117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322586535",
"telephone_number": "904-415-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13505 CITICARDS WAY UNIT 4117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322586535",
"telephone_number": "904-415-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "DESIREE",
"middle_name": "AMELIA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "22381",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.