Active NPI
Tamerrial J Dunnaway, OT
- Occupational Therapist
- West Palm Beach, FL
National Provider Identifier
1396085288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13109
- Practice address
- 319 Baker Dr
West Palm Beach, FL 33409-3805 - Phone
- (561) 693-8992
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13109 | FL | Primary |
Addresses
Primary practice location
319 Baker Dr
West Palm Beach, FL 33409-3805
Mailing address
319 Baker Dr
West Palm Beach, FL 33409-3805
Phone (561) 693-8992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13109 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1396085288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 BAKER DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093805",
"telephone_number": "561-693-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 BAKER DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093805",
"telephone_number": "561-693-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNAWAY",
"first_name": "TAMERRIAL",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "13109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.