Active NPI
Dena Marie Eidel, OTR/L
- Occupational Therapist
- Troy, NY
National Provider Identifier
1154087138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026193
- Practice address
- 85 Bloomingrove Dr
Troy, NY 12180-8433 - Phone
- (518) 283-2000
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 026193 | NY | Primary |
Addresses
Primary practice location
85 Bloomingrove Dr
Troy, NY 12180-8433
Mailing address
2165 State Route 26
Endicott, NY 13760-6412
Phone (607) 205-0300
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 |
|---|---|---|---|
| 026193 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636761600000",
"number": "1154087138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 STATE ROUTE 26",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137606412",
"telephone_number": "607-205-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BLOOMINGROVE DR",
"city": "TROY",
"state": "NY",
"postal_code": "121808433",
"telephone_number": "518-283-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDEL",
"first_name": "DENA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-13",
"last_updated": "2021-11-13",
"certification_date": "2021-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.