Individual provider Active NPI

Donna Humphries Hasbrouck, MS,OTR/L, CHT

  • Hand Occupational Therapist
  • West Palm Beach, FL
National Provider Identifier
1922063130
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT0008087 Issued in FL
Practice address
801 S Olive Ave Ste 106
West Palm Beach, FL 33401-6127
Phone
(561) 461-5343
Fax
(561) 530-2026
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 OT0008087 FL Primary

Addresses

Primary practice location

801 S Olive Ave Ste 106
West Palm Beach, FL 33401-6127

Mailing address

801 S Olive Ave Ste 106
West Palm BCH, FL 33401-6127
Phone (561) 461-5343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002653 FL Practitioner - Occupational Therapist in Private Practice 5395154959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Therapy Group LLCGroup PAC ID 3274954052, 24 clinicians

Practice addresses (Care Compare)

630 S Sapodilla Ave
Apt 117
West Palm Beach, FL 33401-4179
Phone (561) 461-5343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT0008087FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Group LLC Hand CurrentSince Apr 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1922063130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S OLIVE AVE STE 106",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334016127",
            "telephone_number": "561-461-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S OLIVE AVE STE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016127",
            "telephone_number": "561-461-5343",
            "fax_number": "561-530-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBROUCK",
        "first_name": "DONNA",
        "middle_name": "HUMPHRIES",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT0008087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.