Daphne Lynne Hartley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2107 Issued in CA

Practice address

301 White Oak Dr
Santa Rosa, CA 95409-5950

Phone

(707) 387-0874

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1609480029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 WILSON LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929734",
            "telephone_number": "707-321-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WHITE OAK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095950",
            "telephone_number": "707-387-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "DAPHNE",
        "middle_name": "LYNNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rossana Hart
• Stacy Marie Hart, IMF #59027
• Todd Allen Hart, LMFT
• Todd Jeffrey Harter, O.D.
• Jane Elizabeth Hartigan
• Craig S Hartman, D.C.
• Emily Hartman
• Erica Adele Hartman, RN
• Jennie Marie Hartman, P.T.
• Kimberly Anne Hartman

• Occupational Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.