Chantell D'Avignon, MOT OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10514 Issued in FL

Practice address

12512 Longstone CT
New Port Richey, FL 34655-7263

Phone

(954) 592-9805

NPI assigned

Nov 10, 2010

Last updated

Oct 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1285935031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 LONGSTONE CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346557263",
            "telephone_number": "954-592-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 LONGSTONE CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346557263",
            "telephone_number": "954-592-9805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1979 Lakeside Pkwy",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845935",
            "country_code": "US",
            "telephone_number": "800-849-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AVIGNON",
        "first_name": "CHANTELL",
        "credential": "MOT OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "10514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.