Individual provider Active NPI

Danielle Marie Birckhead

  • Occupational Therapist
  • Canastota, NY
National Provider Identifier
1437445749
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
P80350 Issued in NY
Practice address
3975 Douglas Heights Dr
Canastota, NY 13032-4729
Phone
(315) 532-1816
NPI assigned
Jun 24, 2011
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 P80350 NY Primary

Addresses

Primary practice location

3975 Douglas Heights Dr
Canastota, NY 13032-4729

Mailing address

3975 Douglas Heights Dr
Canastota, NY 13032-4729
Phone (315) 532-1816

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
P80350NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1437445749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 DOUGLAS HEIGHTS DR",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324729",
            "telephone_number": "315-532-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 DOUGLAS HEIGHTS DR",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324729",
            "telephone_number": "315-532-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCKHEAD",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P80350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canastota, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.