Scott Dagenais, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT9586 Issued in CA

Practice address

1700 Adams Ave
Ste 103
Costa Mesa, CA 92626-4865

Phone

(714) 556-2288

Fax

(714) 435-1745

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hands on Hands Rehabilitation Center, Inc

  • Hand Occupational Therapist
  • Costa Mesa, CA
  • NPI 1821183070
  NPD (past)
• Hands on Hands Rehabilitation Center, Inc.

  • Occupational Therapist
  • Huntington Beach, CA
  • NPI 1245403906
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1952595852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "STE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-556-2288",
            "fax_number": "714-435-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "STE 103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-556-2288",
            "fax_number": "714-435-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGENAIS",
        "first_name": "SCOTT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT9586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo Edward Canlas Custodio
• Custom Eyes Optometry, Inc.
• Amy Cusumano
• Cytogen Labs, Inc
• Michael Robert Czapla, D.C.
• Malina Dahms
• Brigide Lorraine Daily, D.C.
• Gracielle Joyce Dalisay, LCSW
• Luke Michael Joseph Daly
• Rowena Daly, N.D.

• Hand Occupational Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.