Individual provider Active NPI

Robin L Dal Santo, COTA/L

  • Occupational Therapy Assistant
  • Cedar Lake, IN
National Provider Identifier
1922263334
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32000120A Issued in IN
Practice address
11597 Kennedy PL
Cedar Lake, IN 46303-8208
Phone
(219) 365-1905
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32000120A IN Primary

Addresses

Primary practice location

11597 Kennedy PL
Cedar Lake, IN 46303-8208

Mailing address

11597 Kennedy PL
Cedar Lake, IN 46303-8208
Phone (219) 365-1905

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
32000120AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1922263334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11597 KENNEDY PL",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463038208",
            "telephone_number": "219-365-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11597 KENNEDY PL",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463038208",
            "telephone_number": "219-365-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAL SANTO",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32000120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Lake, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.