Individual provider Active NPI

Dana M Brodin, OTR/L

  • Occupational Therapist
  • Cranston, RI
National Provider Identifier
1336678432
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0277 Issued in RI
Practice address
626 Park Ave Ste 2a
Cranston, RI 02910-2154
Phone
(401) 270-9991
NPI assigned
Jun 12, 2017
Last updated
Jun 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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 0277 RI Primary

Addresses

Primary practice location

626 Park Ave Ste 2a
Cranston, RI 02910-2154

Mailing address

3 Atlantic Cir
Jamestown, RI 02835-2502
Phone (401) 741-3409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603003091 RI Practitioner - Occupational Therapist in Private Practice 0345711040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Physical Therapy and Wellness, LLCGroup PAC ID 4688073448, 21 clinicians

Practice addresses (Care Compare)

19 Misquamicut Hills Rd
Westerly, RI 02891-4108
Phone (401) 378-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0277RIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CBS Therapy 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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1336678432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ATLANTIC CIR",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028352502",
            "telephone_number": "401-741-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 PARK AVE STE 2A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102154",
            "telephone_number": "401-270-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIN",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "0277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.