Doreen Joy Daneault, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

484 Williamson Rd Ste 102
Mooresville, NC 28117-8191

Phone

(704) 746-9698

NPI assigned

Sep 19, 2019

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Doreen Joy Duval Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Norman Communication Services, Inc.

  dba Pam Manser & Associates Speech Therapy

  • Physical Medicine & Rehabilitation Physician
  • Mooresville, NC
  • NPI 1467908368
  NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1144870353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-793-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-746-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1669 Norwood Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286778201",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 S Highway 16",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281648702",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANEAULT",
        "first_name": "DOREEN",
        "middle_name": "JOY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "DUVAL",
            "middle_name": "JOY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emma Holliday Collins Cuttino, MA, LCMHCA
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• Stephanie Kelley Czyryca, MSW
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• Darren R. Cross DDS, PLLC

• Occupational Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.