Individual provider Active NPI

Donielle Hair, OTR/L

  • Occupational Therapist
  • San Francisco, CA
National Provider Identifier
1174087746
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19586 Issued in CA
Practice address
342 Miramar Ave
San Francisco, CA 94112
Phone
(614) 558-0357
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19586 CA Primary

Addresses

Primary practice location

342 Miramar Ave
San Francisco, CA 94112

Mailing address

342 Miramar Ave
San Francisco, CA 94112
Phone (510) 836-3677

Other practice location 1

2910 McClure St
Oakland, CA 94609-3505
Phone (510) 836-3677

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

LicenseStateTypeSpecialty
OT19586CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
World of OT, LLC Occupational Therapist CurrentSince Oct 16, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1174087746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MIRAMAR AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "510-836-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 MIRAMAR AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "614-558-0357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 McClure St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093505",
            "country_code": "US",
            "telephone_number": "510-836-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIR",
        "first_name": "DONIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.