Active NPI
Jeanne Dunkel, OTR
- Specialist
- Riverside, CA
National Provider Identifier
1639474513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT385
- Practice address
- 3529 Hoover St
Riverside, CA 92504-3907 - Phone
- (951) 354-7904
- NPI assigned
- Jan 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT385 | CA | Primary |
Addresses
Primary practice location
3529 Hoover St
Riverside, CA 92504-3907
Mailing address
3529 Hoover St
Riverside, CA 92504-3907
Phone (951) 354-7904
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT385 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Life Rehab, Inc. | Past | 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.
-
- Geriatric Physical Therapist
- Escondido, CA
- NPI 1346295805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1639474513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 HOOVER ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043907",
"telephone_number": "951-354-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3529 HOOVER ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043907",
"telephone_number": "951-354-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKEL",
"first_name": "JEANNE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.