Active NPI
Danielle Halasz, OTR/L
- Pediatric Occupational Therapist
- Jacksonville Beach, FL
National Provider Identifier
1629680392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 19468
- Practice address
- 1157 Beach Blvd
Jacksonville Beach, FL 32250-3445 - Phone
- (904) 450-5061
- NPI assigned
- Aug 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 19468 | FL | Primary |
Addresses
Primary practice location
1157 Beach Blvd
Jacksonville Beach, FL 32250-3445
Mailing address
1661 Riverside Ave Apt 320
Jacksonville, FL 32204-4025
Phone (904) 566-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19468 | Other | FL | OCCUPATIONAL THERAPY LICENSE NUMBER |
Other names 1
- Danielle Hicken
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 |
|---|---|---|---|
| 19468 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonder Mind Kids | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1629680392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 RIVERSIDE AVE APT 320",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044025",
"telephone_number": "904-566-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 BEACH BLVD",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503445",
"telephone_number": "904-450-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALASZ",
"first_name": "DANIELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-23",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "19468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE NUMBER",
"identifier": "19468",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "HICKEN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.