Individual provider Active NPI

Dawn Root

  • Occupational Therapy Assistant
  • San Angelo, TX
National Provider Identifier
1891270245
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
213553 Issued in TX
Practice address
2210 Howard St
San Angelo, TX 76901-1318
Phone
(325) 944-0561
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14697FLMDOccupational Therapy Assistant
3789SCMDOccupational Therapy Assistant
213553TXMDOccupational 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.

Verify at the official NPI Registry.