Individual provider Active NPI

Daniele Rahman

  • Occupational Therapist
  • Edina, MN
National Provider Identifier
1699224717
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006566 Issued in GA
Practice address
6600 France Ave S Ste 164
Edina, MN 55435-1802
Phone
(952) 600-5882
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006566 GA Primary

Addresses

Primary practice location

6600 France Ave S Ste 164
Edina, MN 55435-1802

Mailing address

6600 France Ave S Ste 164
Edina, MN 55435-1802
Phone (952) 600-5882

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

LicenseStateTypeSpecialty
OT006566GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Movement LLC Occupational Therapist CurrentSince Apr 8, 2024 Accepting new patients
Center for Pediatric Movement LLC CurrentSince Apr 8, 2024 Accepting new patients

Locations

6600 France Ave S
Ste 164
Edina, MN 55435
Phone (612) 889-0973

Organizations & group practices 2

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1699224717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 164",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351802",
            "telephone_number": "952-600-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 164",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351802",
            "telephone_number": "952-600-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "DANIELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.