Active NPI
Dawn Root
- Occupational Therapy Assistant
- San Angelo, TX
National Provider Identifier
1891270245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 213553
- Practice address
- 2210 Howard St
San Angelo, TX 76901-1318 - Phone
- (325) 944-0561
- NPI assigned
- Oct 2, 2018
- Last updated
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 14697 | FL | |
| Occupational Therapy Assistant | 224Z00000X | 3789 | SC | |
| Occupational Therapy Assistant | 224Z00000X | 4474 | AL | |
| Occupational Therapy Assistant | 224Z00000X | 213553 | TX | Primary |
Addresses
Primary practice location
2210 Howard St
San Angelo, TX 76901-1318
Mailing address
58 Pebble Stone LN
Palm Coast, FL 32164-7475
Phone (386) 986-9140
Other practice location 1
309 5th St.
Sterling City, TX 76951
Phone (325) 378-2134
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 |
|---|---|---|---|
| 14697 | FL | MD | Occupational Therapy Assistant |
| 3789 | SC | MD | Occupational Therapy Assistant |
| 213553 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1891270245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PEBBLE STONE LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647475",
"telephone_number": "386-986-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 HOWARD ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769011318",
"telephone_number": "325-944-0561"
}
],
"practiceLocations": [
{
"address_1": "309 5th St.",
"address_purpose": "LOCATION",
"city": "Sterling City",
"state": "TX",
"postal_code": "76951",
"country_code": "US",
"telephone_number": "325-378-2134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOT",
"first_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "14697",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "3789",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "4474",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "213553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.