Dana W Black, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19708 Issued in FL

Practice address

1700 NE Indian River Dr
Jensen Beach, FL 34957-5853

Phone

(772) 225-1355

Fax

(772) 225-8037

NPI assigned

Aug 13, 2008

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegiance Home Therapy, IncGroup PAC ID 2163608738, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegiance Home Therapy, Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1134438484
  Medicare reassignment Care Compare group NPD
• Inhometherapy Inc

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1811736069

  FL, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1952557720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575853",
            "telephone_number": "772-225-1355",
            "fax_number": "772-225-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 SW PRIMA VISTA BLVD",
            "address_purpose": "LOCATION",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "country_code": "US",
            "telephone_number": "954-408-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DANA",
        "middle_name": "W",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9730",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BFD Partners LLC (Ellie Mental Health)
• Big Hat Inc. (Jensen Beach Smiles)
• Brennae Lee Bilinski, CF-SLP
• Tegan Bissell, RD, LDN, CDCES
• BJ's Wholesale Club Inc.
• R M Blatstein, DPM PA
• Eric Boccadifuoco, PT
• Grace Bohan
• Rhiannon Noel Boswell, APRN, FNP- BC
• Douglas W Bowling, M.D.

• Occupational Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.