Individual provider Active NPI

Daniel J Van Dongen

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1609195502
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13694 Issued in FL
Practice address
3107 NE 40TH CT
Fort Lauderdale, FL 33308-6413
Phone
(954) 454-2345
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13694 FL Primary

Addresses

Primary practice location

3107 NE 40TH CT
Fort Lauderdale, FL 33308-6413

Mailing address

1701 N Flagler Dr Apt 214
West Palm Beach, FL 33407-6594
Phone (786) 375-7019

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

LicenseStateTypeSpecialty
OT13694FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1609195502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N FLAGLER DR APT 214",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076594",
            "telephone_number": "786-375-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 NE 40TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086413",
            "telephone_number": "954-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DONGEN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.