Active NPI
Dakota Will Abernathy, OTR
- Pediatric Occupational Therapist
- Dallas, TX
National Provider Identifier
1922566520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 119744
- Practice address
- 6301 Gaston Ave Ste 750
Dallas, TX 75214-3922 - Phone
- (214) 295-5374
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 119744 | TX | Primary |
Addresses
Primary practice location
6301 Gaston Ave Ste 750
Dallas, TX 75214-3922
Mailing address
133 Chisholm Hills Rd
Weatherford, TX 76087-3101
Phone (817) 458-2357
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119744 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1922566520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CHISHOLM HILLS RD",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760873101",
"telephone_number": "817-458-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 GASTON AVE STE 750",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-295-5374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNATHY",
"first_name": "DAKOTA",
"middle_name": "WILL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "119744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.