Deanna Rachelle Dambrose, OTD

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

0119-008189 Issued in VA

Practice address

11901 Reedy Branch Rd
Chesterfield, VA 23838-4235

Phone

(804) 712-4133

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Homes IncGroup PAC ID 0446577316, 7 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.

• Gateway Homes, Inc.

  • Psychiatric Residential Treatment Facility
  • Chesterfield, VA
  • NPI 1154428290
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1972164507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 REEDY BRANCH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384235",
            "telephone_number": "540-538-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 REEDY BRANCH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238384235",
            "telephone_number": "804-712-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBROSE",
        "first_name": "DEANNA",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "VA",
            "license": "0119-008189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharvae Arice Crowner
• Rio Cruise-Ross
• Nicole Cutler, PA-C
• Ruth Marie Cutler, LCSW
• D.a.C. Health
• Edward Lee Damrath Jr., OTR
• Monica Dangerfield
• Sharalda Denise Daniels, LCSW
• Krista Leigh Davidson, MSC.PT
• Jack Davis

• Mental Health Occupational Therapist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Health Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.