Individual provider Active NPI

Teresa Danner, OTR, CPST

  • Pediatric Occupational Therapist
  • Austin, TX
National Provider Identifier
1366832495
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
112786 Issued in TX
Practice address
4422 Pack Saddle Pass
Austin, TX 78745-1681
Phone
(512) 444-3545
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 112786 TX Primary

Addresses

Primary practice location

4422 Pack Saddle Pass
Austin, TX 78745-1681

Mailing address

4422 Pack Saddle Pass
Austin, TX 78745-1681
Phone (512) 444-3545

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
112786TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1366832495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451681",
            "telephone_number": "512-444-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451681",
            "telephone_number": "512-444-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNER",
        "first_name": "TERESA",
        "credential": "OTR, CPST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.