Individual provider Active NPI

Danielle Lynn Nelson, OT

  • Occupational Therapist
  • Toledo, OH
National Provider Identifier
1396045969
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007638 Issued in OH
Practice address
5412 Monroe St Ste 1
Toledo, OH 43623
Phone
(419) 279-9576
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 007638 OH Primary

Addresses

Primary practice location

5412 Monroe St Ste 1
Toledo, OH 43623

Mailing address

5412 Monroe St Ste 1
Toledo, OH 43623-2890
Phone (419) 279-9576

Other practice location 1

3160 Central Park W
Toledo, OH 43617-1083
Phone (419) 841-1840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621001903 OH Practitioner - Occupational Therapist in Private Practice 4688942345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Bright Therapy LLCGroup PAC ID 0042588709, 5 clinicians

Practice addresses (Care Compare)

5164 Monroe St
Toledo, OH 43623-3471
Phone (419) 410-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007638OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Bright Therapy LLC CurrentSince Jun 1, 2017 Accepting new patients
A Renewed Mind PastSince Jun 1, 2017 Accepting new patients
Rehab Dynamics, Inc. Occupational Therapist PastSince Jul 29, 2021 Accepting new patients

Locations

701 N Clinton St
Ste 105
Defiance, OH 43512

5164 Monroe St
Toledo, OH 43623
Phone (419) 359-5300

5412 Monroe St
Ste 1
Toledo, OH 43623
Phone (419) 279-9576

Organizations & group practices 3

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1396045969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 MONROE ST STE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232890",
            "telephone_number": "419-279-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 MONROE ST STE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-279-9576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Central Park W",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171083",
            "country_code": "US",
            "telephone_number": "419-841-1840",
            "fax_number": "419-841-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "007638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.