Individual provider Active NPI

Julie Daviduk

  • Occupational Therapist
  • Westerville, OH
National Provider Identifier
1821495441
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007399 Issued in OH
Practice address
900 Club Dr
Westerville, OH 43081-4909
Phone
(614) 899-2838
Fax
(614) 899-2876
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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 007399 OH Primary

Addresses

Primary practice location

900 Club Dr
Westerville, OH 43081-4909

Mailing address

900 Club Dr
Westerville, OH 43081-4909
Phone (614) 899-2838

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
007399OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakstone Health Center PastSince Jan 10, 2011 Accepting new patients
Children'S Center for Developmental Enrichment Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10687/brand/1/csg/1/fhir/r4

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1821495441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CLUB DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814909",
            "telephone_number": "614-899-2838",
            "fax_number": "614-899-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CLUB DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814909",
            "telephone_number": "614-899-2838",
            "fax_number": "614-899-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDUK",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "007399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.