Individual provider Active NPI

Lani Danae Rodriguez, COTA

  • Feeding, Eating & Swallowing Occupational Therapy Assistant
  • Ft Worth, TX
National Provider Identifier
1710595756
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X
License
215842 Issued in TX
Practice address
4515 Village Creek Rd
Ft Worth, TX 76119-4158
Phone
(817) 451-8704
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 215842 TX Primary

Addresses

Primary practice location

4515 Village Creek Rd
Ft Worth, TX 76119-4158

Mailing address

1203 Elizabeth Blvd
Granbury, TX 76048-2313
Phone (817) 279-2521

Other names 1

  • Lani Danae Allard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laniallard@hotmail.com

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

LicenseStateTypeSpecialty
215842TXMDFeeding, Eating & Swallowing Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1710595756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 ELIZABETH BLVD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482313",
            "telephone_number": "817-279-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VILLAGE CREEK RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761194158",
            "telephone_number": "817-451-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LANI",
        "middle_name": "DANAE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "TX",
            "license": "215842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laniallard@hotmail.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1203 Elizabeth Blvd",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760482313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LANI",
            "last_name": "ALLARD",
            "middle_name": "DANAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.