Active NPI
Dwayne Hoble
- Occupational Therapist
- Tamarac, FL
National Provider Identifier
1184832602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 8010 N University Dr
First Floor
Tamarac, FL 33321-2153 - Phone
- (954) 724-5500
- Fax
- (954) 724-5131
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
8010 N University Dr
First Floor
Tamarac, FL 33321-2153
Mailing address
8010 N University Dr
First Floor
Tamarac, FL 33321-2153
Phone (954) 724-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z120Q | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Therapy and Rehabilitation Services | Past | Accepting new patients | |
| Flexrehab Services, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Weston, FL
- NPI 1467558353
-
- Physical Therapist
- Tamarac, FL
- NPI 1265527436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184832602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 N UNIVERSITY DR",
"address_2": "FIRST FLOOR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212153",
"telephone_number": "954-724-5500",
"fax_number": "954-724-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 N UNIVERSITY DR",
"address_2": "FIRST FLOOR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212153",
"telephone_number": "954-724-5500",
"fax_number": "954-724-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBLE",
"first_name": "DWAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z120Q",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.