Individual provider Active NPI

Danielle Van Dusen, OTR/L

  • Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1174448302
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61420402 Issued in WA
Practice address
4005 N Baltimore St
Tacoma, WA 98407-3641
Phone
(253) 549-3651
NPI assigned
Aug 13, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 OT61420402 WA Primary

Addresses

Primary practice location

4005 N Baltimore St
Tacoma, WA 98407-3641

Mailing address

4005 N Baltimore St
Tacoma, WA 98407-3641

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

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1174448302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N BALTIMORE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984073641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N BALTIMORE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984073641",
            "telephone_number": "253-549-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "DANIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61420402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.