Daniel Christopher Mack, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

03276 Issued in MD

Practice address

2340 Southfield CT
Finksburg, MD 21048-2256

Phone

(410) 259-6622

Fax

(410) 526-2332

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Smart, LLC

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  Authorized official Same address or phone

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1588965701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SOUTHFIELD CT",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482256",
            "telephone_number": "410-259-6622",
            "fax_number": "410-526-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SOUTHFIELD CT",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482256",
            "telephone_number": "410-259-6622",
            "fax_number": "410-526-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "DANIEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03276",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MD",
            "license": "03276",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MD",
            "license": "03276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingdom Medicine PA
• Philip Konits
• Ann Storey Kumpf
• Sarah Irene Kuo, D.D.S.
• John Kupsa, ATP
• Magass Family Medicine & Urgent Care
• Magass Urgent Care, LLC
• Melissa Danielle Magassouba
• Moriba Magassouba, PA-C
• Abraham Mathew, MD

• Occupational Therapist in Finksburg, MD
• Providers in Finksburg, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.