Active NPI
Dan S Eisner, OTR/L
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1740367994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03934
- Practice address
- 7000 Tudsbury Rd
Baltimore, MD 21244-2675 - Phone
- (410) 298-7000
- Fax
- (410) 448-7366
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 03934 | MD | Primary |
Addresses
Primary practice location
7000 Tudsbury Rd
Baltimore, MD 21244-2675
Mailing address
2931 E Biddle St
Patient Accounting
Baltimore, MD 21213-3939
Phone (443) 923-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60498102 | Other | MD | BLUE CROSS/BLUE SHEILD |
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 |
|---|---|---|---|
| 03934 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pact: Helping Children With Special Needs, Inc. | Past | Accepting new patients | |
| Pact Helping Children With Special Needs Inc | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- Baltimore, MD
- NPI 1275631509
-
- Community Health Clinic/Center
- Baltimore, MD
- NPI 1871709204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740367994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 E BIDDLE ST",
"address_2": "PATIENT ACCOUNTING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133939",
"telephone_number": "443-923-1886",
"fax_number": "443-923-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 TUDSBURY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212442675",
"telephone_number": "410-298-7000",
"fax_number": "410-448-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISNER",
"first_name": "DAN",
"middle_name": "S",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHEILD",
"identifier": "60498102",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.