Active NPI
Jennifer Nicole Dachtyl, OTR/L
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1952664070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5159
- Practice address
- 2524 S El Paradiso
Unit 118
Mesa, AZ 85202-7459 - Phone
- (586) 945-1117
- NPI assigned
- Jun 22, 2012
- Last updated
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5159 | AZ | Primary |
Addresses
Primary practice location
2524 S El Paradiso
Unit 118
Mesa, AZ 85202-7459
Mailing address
2524 S El Paradiso
Unit 118
Mesa, AZ 85202-7459
Phone (586) 945-1117
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1952664070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 S EL PARADISO",
"address_2": "UNIT 118",
"city": "MESA",
"state": "AZ",
"postal_code": "852027459",
"telephone_number": "586-945-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 S EL PARADISO",
"address_2": "UNIT 118",
"city": "MESA",
"state": "AZ",
"postal_code": "852027459",
"telephone_number": "586-945-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACHTYL",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.