Active NPI
Dana Maureen Fitzgerald, OTR/L
- Occupational Therapist
- Fowler, OH
National Provider Identifier
1609164201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC003705L
- Practice address
- 4563 Sodom Hutchings Rd
Fowler, OH 44418-9706 - Phone
- (330) 978-5595
- NPI assigned
- Jul 16, 2011
- Last updated
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT003183 | OH | |
| Occupational Therapist | 225X00000X | OC003705L | PA | Primary |
Addresses
Primary practice location
4563 Sodom Hutchings Rd
Fowler, OH 44418-9706
Mailing address
4563 Sodom Hutchings Rd
Fowler, OH 44418-9706
Phone (330) 978-5595
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 |
|---|---|---|---|
| OT003183 | OH | MD | Occupational Therapist |
| OC003705L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310774400000",
"number": "1609164201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4563 SODOM HUTCHINGS RD",
"city": "FOWLER",
"state": "OH",
"postal_code": "444189706",
"telephone_number": "330-978-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4563 SODOM HUTCHINGS RD",
"city": "FOWLER",
"state": "OH",
"postal_code": "444189706",
"telephone_number": "330-978-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "DANA",
"middle_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-16",
"last_updated": "2011-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT003183",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC003705L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fowler, OH
- Vivian Diane Bundy
- Concord Care Center of Hartford Inc. (Meadowbrook Manor)
- Concord Care Center of Hartford, Inc. (Meadowbrook Manor)
- Continent Health Company of Hartford, LLC (Meadowbrook Manor)
- Rachael Ann Fenstermaker
- Melodie L Hunter
- Melissa McCauley
- Angela Lynn Nicholson, LMT
- Py Medical Services of Ny PLLC (Rite Med Group)
- Jeri Jo Salmon, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.