Active NPI
Danae C Eitzmann, OTR/L
- Occupational Therapist
- Seward, NE
National Provider Identifier
1588949549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1585
- Practice address
- 239 South St. Apt 2
Seward, NE 68434 - Phone
- (402) 310-6920
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1585 | NE | Primary |
Addresses
Primary practice location
239 South St. Apt 2
Seward, NE 68434
Mailing address
239 South St. Apt 2
Seward, NE 68434
Phone (402) 310-6920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1585 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1588949549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 SOUTH ST. APT 2",
"city": "SEWARD",
"state": "NE",
"postal_code": "68434",
"telephone_number": "402-310-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 SOUTH ST. APT 2",
"city": "SEWARD",
"state": "NE",
"postal_code": "68434",
"telephone_number": "402-310-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EITZMANN",
"first_name": "DANAE",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seward, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.