Danielle Marie Tollefson, OTR

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT60631742 Issued in WA

Practice address

740 NE Dallas St
Camas, WA 98607-2058

Phone

(360) 834-5055

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1639530041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NE DALLAS ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072058",
            "telephone_number": "360-834-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OR",
            "license": "1041669",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "OT60631742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Healing Hands LMT LLC
• The Next Chapter Counseling Services
• The Vancouver Clinic Inc PS (The Vancouver clinic)
• Therapeutic Associates Inc (TAI - Camas Physical Therapy)
• Zoe Elizabeth Thomas, BSN, RN
• Torie Wiksell Therapy: a Marriage & Family Therapy Professional Corpor (Torie Wiksell Therapy)
• Total Optimization LLC (Benjamin Stumpf, DO Sole MBR)
• Lan Kim Tran
• Thanh N Tran, OD
• Tranquility Partners, LLC (Discover Recovery)

• Gerontology Occupational Therapist in Camas, WA
• Providers in Camas, WA by specialty
• Gerontology Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.