Individual provider Active NPI

Ashley Dallal, OTR/L

  • Hand Occupational Therapist
  • Ft Lauderdale, FL
National Provider Identifier
1902065063
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT10224 Issued in FL
Practice address
2507 Okeechobee LN
Ft Lauderdale, FL 33312-4623
Phone
(954) 614-1113
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT10224 FL Primary

Addresses

Primary practice location

2507 Okeechobee LN
Ft Lauderdale, FL 33312-4623

Mailing address

2507 Okeechobee LN
Ft Lauderdale, FL 33312-4623
Phone (954) 614-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826000805 FL Practitioner - Occupational Therapist in Private Practice 9739584913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hand Therapy and Rehabilitation IncGroup PAC ID 8527061399, 2 clinicians

Practice addresses (Care Compare)

1249 Stirling Rd
Suite 7
Dania Beach, FL 33004-3554
Phone (954) 674-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT10224FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Group LLC Hand CurrentSince Aug 1, 2021 Accepting new patients
Florida Hand Therapy and Rehabilitation Inc Hand CurrentSince Sep 15, 2021 Accepting new patients
Florida Hand Therapy and Rehabilitation Inc PastSince Sep 15, 2021 Accepting new patients

Locations

1249 Stirling Rd
Ste 7
Dania Beach, FL 33004
Phone (954) 674-2480

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.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1902065063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 OKEECHOBEE LN",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124623",
            "telephone_number": "954-614-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 OKEECHOBEE LN",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124623",
            "telephone_number": "954-614-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAL",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT10224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.