Individual provider Active NPI

Darlene Faye Guckenberger, OTR-L

  • Occupational Therapist
  • Clearwater, FL
National Provider Identifier
1174735419
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3241 Issued in FL
Practice address
2666 N McMullen Booth Rd
#1032
Clearwater, FL 33761-4404
Phone
(727) 437-7027
NPI assigned
May 7, 2007
Last updated
Feb 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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 OT3241 FL Primary

Addresses

Primary practice location

2666 N McMullen Booth Rd
#1032
Clearwater, FL 33761-4404

Mailing address

2666 N McMullen Booth Rd
#1032
Clearwater, FL 33761-4404
Phone (727) 437-7027

Other identifiers 1

IdentifierTypeStateIssuer
891773600MedicaidFL

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
OT3241FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1174735419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 N MCMULLEN BOOTH RD",
            "address_2": "#1032",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614404",
            "telephone_number": "727-437-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 N MCMULLEN BOOTH RD",
            "address_2": "#1032",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614404",
            "telephone_number": "727-437-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCKENBERGER",
        "first_name": "DARLENE",
        "middle_name": "FAYE",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891773600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.