Active NPI
Dawn Raea Santiago, OTR/L
- Occupational Therapist
- Punta Gorda, FL
National Provider Identifier
1447538699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT5258
- Practice address
- 15360 Lemonade Dr
Punta Gorda, FL 33955 - Phone
- (941) 623-3914
- Fax
- (941) 505-4275
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | OT5258 | FL | Primary |
Addresses
Primary practice location
15360 Lemonade Dr
Punta Gorda, FL 33955
Mailing address
15360 Lemonade Dr
Punta Gorda, FL 33955
Phone (941) 623-3914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1447538699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15360 LEMONADE DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "33955",
"telephone_number": "941-623-3914",
"fax_number": "941-505-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15360 LEMONADE DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "33955",
"telephone_number": "941-623-3914",
"fax_number": "941-505-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "DAWN",
"middle_name": "RAEA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT5258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.