Siria Marie Dutchover, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109949 Issued in TX

Practice address

4107 W Illinois Ave Ste 2
Midland, TX 79703-5526

Phone

(432) 697-4073

NPI assigned

Jun 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odessa Physical Therapy PCGroup PAC ID 2163324955, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Odessa Physical Therapy PC

  • Physical Therapist
  • Odessa, TX
  • NPI 1609873439
  Medicare reassignment Care Compare group NPD
• Big Country Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Sulphur Springs, TX
  • NPI 1437489184
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1154559623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 W ILLINOIS AVE STE 2",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035526",
            "telephone_number": "432-697-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W ILLINOIS AVE STE 2",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035526",
            "telephone_number": "432-697-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCHOVER",
        "first_name": "SIRIA",
        "middle_name": "MARIE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jo-Anne Dunbar
• Jean Ellen Dunn-Sablan, LPC
• Micah Dunn
• Sara Vest Dunnam, M.S., CCC-SLP
• Breanne Nicole Duprie
• DX Inc
• Carol Dyer, PA-S
• Joel Edward Dyer, M.D.
• Franklin J Dzida, M.D.
• Marshall D Early, D.O.

• Occupational Therapist in Midland, TX
• Providers in Midland, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.