Active NPI
Dinah Salam, OTR
- Occupational Therapist
- Addison, TX
National Provider Identifier
1275947301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115980
- Practice address
- 16220 Midway Rd
Addison, TX 75001-4214 - Phone
- (214) 483-3170
- Fax
- (214) 377-4244
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- 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 | 115980 | TX | Primary |
Addresses
Primary practice location
16220 Midway Rd
Addison, TX 75001-4214
Mailing address
16220 Midway Rd
Addison, TX 75001-4214
Phone (214) 483-3170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180731000788 | TX | Practitioner - Occupational Therapist in Private Practice | 1052669538 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115980 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The ABA Spot LLC | 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.
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- Wylie, TX
- NPI 1336070671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1275947301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16220 MIDWAY RD",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014214",
"telephone_number": "214-483-3170",
"fax_number": "214-377-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16220 MIDWAY RD",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014214",
"telephone_number": "214-483-3170",
"fax_number": "214-377-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAM",
"first_name": "DINAH",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.