Individual provider Active NPI

Dudley Yacinthe, OTD

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1346843091
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21105 Issued in FL
Practice address
7015 Beracasa Way Ste 102
Boca Raton, FL 33433-3453
Phone
(561) 939-2033
Fax
(561) 939-2037
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 OT21105 FL Primary

Addresses

Primary practice location

7015 Beracasa Way Ste 102
Boca Raton, FL 33433-3453

Mailing address

PO Box 8396
Delray Beach, FL 33482-8396
Phone (561) 939-2033

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

OrganizationSpecialtyStatusNew patients
One to One Physical Therapy, Inc. PastSince Dec 16, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1346843091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8396",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334828396",
            "telephone_number": "561-939-2033",
            "fax_number": "561-939-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 BERACASA WAY STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333453",
            "telephone_number": "561-939-2033",
            "fax_number": "561-939-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACINTHE",
        "first_name": "DUDLEY",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.