Individual provider Active NPI

Dawn Neese, OTA/L

  • Occupational Therapy Assistant
  • Greenacres, FL
National Provider Identifier
1396038345
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OAT11759 Issued in FL
Practice address
3066 Jog Rd
Greenacres, FL 33467-2053
Phone
(954) 296-3861
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OAT11759 FL Primary

Addresses

Primary practice location

3066 Jog Rd
Greenacres, FL 33467-2053

Mailing address

415 SE 13TH Dr
Deerfield Beach, FL 33441-6929
Phone (954) 773-5464

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
OAT11759FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1396038345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SE 13TH DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334416929",
            "telephone_number": "954-773-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672053",
            "telephone_number": "954-296-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESE",
        "first_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OAT11759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.