NPIMap

Organization Active NPI

American Autism & Rehabilitation Center Inc

  • Occupational Therapist
  • Daphne, AL
National Provider Identifier
1477955417
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3013 Issued in AL
Legal business name
AMERICAN AUTISM & REHABILITATION CENTER INC
Practice address
8909 Rand Ave
Daphne, AL 36526-9126
Phone
(251) 210-1632
Fax
(251) 625-3152
NPI assigned
Sep 22, 2014
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Darla Mohler-Dixon, RN
Title
President
Phone
(251) 210-1632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3013 AL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2554 AL

Addresses

Primary practice location

8909 Rand Ave
Daphne, AL 36526-9126

Mailing address

8909 Rand Ave
Daphne, AL 36526-9126
Phone (251) 210-1632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150316001298 AL Part B Supplier - Clinic/Group Practice 5698092419 Receives reassigned benefits from 2 practitioners
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

8909 Rand Ave
Daphne, AL 36526
Phone (251) 210-1632

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1477955417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 RAND AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269126",
            "telephone_number": "251-210-1632",
            "fax_number": "251-625-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 RAND AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269126",
            "telephone_number": "251-210-1632",
            "fax_number": "251-625-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN AUTISM & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "MOHLER-DIXON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-210-1632",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3013",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.