Individual provider Active NPI

Dawn McKenna-Sallade, MA, OTR/L

  • Pediatric Occupational Therapist
  • Anaheim, CA
National Provider Identifier
1447541073
Registry record updated May 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 2926 Issued in CA
Practice address
5140 E la Palma Ave Ste 103
Anaheim, CA 92807-2084
Phone
(714) 779-6969
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT 2926 CA
Pediatric Occupational Therapist 225XP0200X OT 2926 CA Primary

Addresses

Primary practice location

5140 E la Palma Ave Ste 103
Anaheim, CA 92807-2084

Mailing address

5140 E la Palma Ave Ste 103
Anaheim, CA 92807-2084

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT 2926CAMDFeeding, Eating & Swallowing Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phase Three Physical Therapy Past Accepting new patients

Organizations & group practices 1

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": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306022400000",
    "number": "1447541073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 E LA PALMA AVE STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 E LA PALMA AVE STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072084",
            "telephone_number": "714-779-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA-SALLADE",
        "first_name": "DAWN",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT 2926",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.