Danielle Deserae Walton

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007401 Issued in GA

Practice address

210 N Ross St Apt O
Auburn, AL 36830-4843

Phone

(757) 288-1967

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Homeside Rehab Florida LLC

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1164937413

  Occupational Therapist

  Medicare reassignment NPD
• Oasis Therapy and Wellness LLC

  • Occupational Therapist
  • Auburn, AL
  • NPI 1811775158
  NPD Authorized official
• Body Logic Physical Therapy LLC

  • Physical Therapist
  • Montgomery, AL
  • NPI 1366851966
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1497212773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SHELLBARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N ROSS ST APT O",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304843",
            "telephone_number": "757-288-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "DANIELLE",
        "middle_name": "DESERAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Taylor Wallace, M.D.
• Page Walley, PH.D.
• Walton Callen Walls, CRNP
• David Allen Walsh, R.P.T
• Ashlee Denese Walters
• Nathanial David Warner, ATC, LAT
• Washburn Family Dental Care, Inc
• Ernest Jason Washburn, DMD
• Logan Michael Washburn
• Marguerite England Waters, CRNP, FNP-BC

• Occupational Therapist in Auburn, AL
• Providers in Auburn, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.