Active NPI
Larry Raymond Danner
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1861673626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR.005114
- Practice address
- 680 S 4TH St
Louisville, KY 40202-2407 - Phone
- (614) 560-9052
- NPI assigned
- Nov 21, 2007
- 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 | OTR.005114 | OH | Primary |
Addresses
Primary practice location
680 S 4TH St
Louisville, KY 40202-2407
Mailing address
174 Timber Oak Dr
Powell, OH 43065-8131
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 |
|---|---|---|---|
| OTR.005114 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1861673626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 TIMBER OAK DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430658131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "614-560-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNER",
"first_name": "LARRY",
"middle_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OTR.005114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.