Individual provider Active NPI

Visar Duane, OT

  • Occupational Therapist
  • N Royalton, OH
National Provider Identifier
1437106580
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005808 Issued in OH
Practice address
4980 Corkwood Dr
N Royalton, OH 44133-3157
Phone
(440) 781-8136
Fax
(440) 237-1451
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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 OT005808 OH Primary

Addresses

Primary practice location

4980 Corkwood Dr
N Royalton, OH 44133-3157

Mailing address

4980 Corkwood Dr
N Royalton, OH 44133-3157
Phone (440) 781-8136

Other identifiers 2

IdentifierTypeStateIssuer
005808OtherOHOT #
2828373MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
OT005808OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1437106580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 CORKWOOD DR",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441333157",
            "telephone_number": "440-781-8136",
            "fax_number": "440-237-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 CORKWOOD DR",
            "city": "N ROYALTON",
            "state": "OH",
            "postal_code": "441333157",
            "telephone_number": "440-781-8136",
            "fax_number": "440-237-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUANE",
        "first_name": "VISAR",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT005808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT #",
            "identifier": "005808",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828373",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.