Individual provider Active NPI

Olivia Faith Daniels, MOTR/L

  • Pediatric Occupational Therapist
  • Waipahu, HI
National Provider Identifier
1447977111
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2236-0 Issued in HI
Practice address
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone
(808) 444-3353
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119009401 VA
Occupational Therapist 225X00000X 122764 TX
Occupational Therapist 225X00000X 14904 NC
Pediatric Occupational Therapist 225XP0200X OT-2236-0 HI Primary

Addresses

Primary practice location

94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485

Mailing address

98-1616 Hoolauae St
Aiea, HI 96701-1801
Phone (757) 818-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610003993 CA Practitioner - Occupational Therapist in Private Practice 2860964897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14904NCMDOccupational Therapist
0119009401VAMDOccupational Therapist
OT-2236-0HIMDPediatric Occupational Therapist
122764TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy LLC Pediatrics CurrentSince Oct 30, 2022 Accepting new patients

Locations

1425 Keolu Dr
Kailua, HI 96734
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056

94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1447977111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1616 HOOLAUAE ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011801",
            "telephone_number": "757-818-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1181 KA UKA BLVD STE C",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974485",
            "telephone_number": "808-444-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "OLIVIA",
        "middle_name": "FAITH",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009401",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122764",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14904",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "OT-2236-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.