Duffy Bloemendal, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

109311 Issued in TX

Practice address

4901 Bryant Irvin Rd N Ste 200
Fort Worth, TX 76107-7673

Phone

(817) 738-9866

Fax

(817) 817-3157

NPI assigned

Nov 9, 2018

Last updated

Nov 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1811465644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 HAMILTON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071710",
            "telephone_number": "214-587-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 BRYANT IRVIN RD N STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077673",
            "telephone_number": "817-738-9866",
            "fax_number": "817-817-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMENDAL",
        "first_name": "DUFFY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "109311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Rehabilitation Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.