Dana Sophia D'Eagle, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002169 Issued in WA

Practice address

32030 23Rd Ave S
Federal Way, WA 98003-6031

Phone

(253) 946-4852

Fax

(253) 946-4862

NPI assigned

Aug 24, 2005

Last updated

Jul 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dana Sophia Accra Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1881687838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32030 23RD AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036031",
            "telephone_number": "253-946-4852",
            "fax_number": "253-946-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'EAGLE",
        "first_name": "DANA",
        "middle_name": "SOPHIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "112691",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE B/S",
            "identifier": "AC7585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "ACCRA",
            "middle_name": "SOPHIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curtis R Baxstrom Jr
• Katherine Curtis, LMT
• Mary F Curtis, MD
• Mercy Curtis
• Mary H Czuk, MD
• Kayla Dacarus
• Lucia Y Dai, MD
• Hannah Dallum
• Dan Roberts, DMD, PLLC
• Alan Dang, DPT

• Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.