Individual provider Active NPI

Ann Marie Alliano Dundas, MSOT

  • Occupational Therapist
  • Corvallis, OR
National Provider Identifier
1760787204
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
231807 Issued in OR
Practice address
3405 NW Maxine Cir
Corvallis, OR 97330-3727
Phone
(327) 513-6953
NPI assigned
Jan 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00446300 NJ
Occupational Therapist 225X00000X 231807 OR Primary

Addresses

Primary practice location

3405 NW Maxine Cir
Corvallis, OR 97330-3727

Mailing address

3405 NW Maxine Cir
Corvallis, OR 97330-3727
Phone (327) 513-6953

Other practice location 1

802 W Park Ave
Suite 211
Ocean, NJ 07712-8527
Phone (732) 918-4848

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
8089NCMDDentist
46TR00446300NJMDOccupational Therapist
231807ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Healthy Occupational Therapist CurrentSince Jan 15, 2023 Accepting new patients
Kessler Institute for Rehabilitation Inc Past Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1760787204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW MAXINE CIR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303727",
            "telephone_number": "327-513-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NW MAXINE CIR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303727",
            "telephone_number": "327-513-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Park Ave",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077128527",
            "country_code": "US",
            "telephone_number": "732-918-4848",
            "fax_number": "732-918-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNDAS",
        "first_name": "ANN MARIE",
        "middle_name": "ALLIANO",
        "name_prefix": "Mrs.",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00446300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "231807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.