Individual provider Active NPI

Danielle Burroughs, OTR

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1306340930
Registry record updated Jan 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16893 Issued in FL
Practice address
1501 SE 24TH Rd # R
Ocala, FL 34471-6005
Phone
(352) 629-8900
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11548 NC
Occupational Therapist 225X00000X OT16893 FL Primary

Addresses

Primary practice location

1501 SE 24TH Rd # R
Ocala, FL 34471-6005

Mailing address

1501 SE 24TH Rd # R
Ocala, FL 34471-6005
Phone (352) 629-8900

Other practice location 1

1721 Bald Hill Loop
Madison, NC 27025-7624
Phone (336) 548-9658

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
OT16893FLMDOccupational Therapist
11548NCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1306340930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SE 24TH RD # R",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716005",
            "telephone_number": "352-629-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SE 24TH RD # R",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716005",
            "telephone_number": "352-629-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Bald Hill Loop",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NC",
            "postal_code": "270257624",
            "country_code": "US",
            "telephone_number": "336-548-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "DANIELLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11548",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.