Doreen Marie Disanto I, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001035 Issued in MI

Practice address

1410 E 14 Mile Rd
Madison Heights, MI 48071-1541

Phone

(248) 819-0045

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1548767049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 ORCHARD RIDGE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381692",
            "telephone_number": "248-765-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E 14 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711541",
            "telephone_number": "248-819-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTO",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "name_suffix": "I",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis G Kelly DO PC
• Jordan J Dennis, RBT
• Colleen Denver
• Stephanie Lauren Dillof, RD
• Direct DME, Inc. (Healthy Steps)
• Discount Medical Equipment &Supplies
• Divine Institute of Rehabilitation Inc
• Divinity Home Health Care LLC
• Chase Dobbs
• Doctor Howard L Dubin PC

• Occupational Therapist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.