Justin Dominic Dalli, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

23376 Issued in FL

Practice address

4945 Deer Lodge Rd
New Port Richey, FL 34655-4332

Phone

(727) 534-9049

NPI assigned

Aug 25, 2022

Last updated

Aug 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1528787165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 DEER LODGE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554332",
            "telephone_number": "727-534-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 DEER LODGE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554332",
            "telephone_number": "727-534-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLI",
        "first_name": "JUSTIN",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "23376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.