Individual provider Active NPI

Dalaine Barron Fletcher, OTR

  • Occupational Therapist
  • Waxahachie, TX
National Provider Identifier
1891860045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100503 Issued in TX
Practice address
1324 Brown St Ste 100
Waxahachie, TX 75165-1422
Phone
(972) 938-3476
Fax
(972) 938-3478
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
100503TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Rehabilitation and Fitness, Inc. Past Accepting new patients
Liberty Therapy, P.a. Occupational Therapist Past Accepting new patients
Steve Randall Buck DO PA Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100503 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1324 Brown St Ste 100
Waxahachie, TX 75165-1422

Mailing address

848 Nueces TRL
Midlothian, TX 76065-5555
Phone (972) 723-0774

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
653016OtherTXBCBS PROVIDER #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891860045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 NUECES TRL",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655555",
            "telephone_number": "972-723-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BROWN ST STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651422",
            "telephone_number": "972-938-3476",
            "fax_number": "972-938-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "DALAINE",
        "middle_name": "BARRON",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "653016",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.