Marci Lin Dondershine, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

14121 Issued in CA

Practice address

2151 Promontory Point LN
Rancho Cordova, CA 95670-7274

Phone

(916) 520-4289

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1093389066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PROMONTORY POINT LN",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707274",
            "telephone_number": "916-520-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PROMONTORY POINT LN",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707274",
            "telephone_number": "916-520-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDERSHINE",
        "first_name": "MARCI",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "14121",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "14121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "14121",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED OCCUPATIONAL THERAPISTS",
            "identifier": "310971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Villanueva Dizon
• Amy Minh Nha DO, D.D.S.
• Dogar Prime Care LLC
• Donald E. Clarke, D.D.S., Inc. (Dental Source of California)
• Magdalena H Donaldson
• Janet Marie Donegan, NP
• Shadi Doroudgar, PHARM.D.
• Jasmin Kaur Dosanjh, RN
• Dr Anosh DDS Inc
• Cynthia Drayton

• Pediatric Occupational Therapist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.