Active NPI
Annie Liu Dong, OTR/L
- Occupational Therapist
- Brentwood, CA
National Provider Identifier
1164947917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17440
- Practice address
- 144 Continente Ave Ste 100
Brentwood, CA 94513 - Phone
- (925) 513-2440
- NPI assigned
- Aug 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17440 | CA | Primary |
Addresses
Primary practice location
144 Continente Ave Ste 100
Brentwood, CA 94513
Mailing address
805 Little Valley Rd
Martinez, CA 94553-4857
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 |
|---|---|---|---|
| 17440 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Therapy Service, a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Brentwood, CA
- NPI 1740595586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1164947917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 LITTLE VALLEY RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 CONTINENTE AVE STE 100",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "925-513-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "ANNIE",
"middle_name": "LIU",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-12",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.