Danielle Hennessy-Wack, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21566 Issued in FL

Practice address

9910 Estero Oaks Dr Apt 313
Fort Myers, FL 33967-5267

Phone

(321) 626-2573

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1609467752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 ESTERO OAKS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675266",
            "telephone_number": "321-626-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 ESTERO OAKS DR APT 313",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675267",
            "telephone_number": "321-626-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY-WACK",
        "first_name": "DANIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Hendry, CRNA
• Connor Joseph Heney, DC
• Jeffrey S Henn, M.D.
• Nadia Suzanne Henneman
• Alyssa Hennessey
• Sabrina Lynn Hall Hennessy, LM, CPM
• Ellen Marie Hennigan, LMHC
• Brandon Henry, MS, ATC
• Haria Henry, MD
• Rachel Henshaw, ARNP

• Occupational Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.