Active NPI
David Tijerino, OTR/L
- Occupational Therapist
- Washington, DC
National Provider Identifier
1982153573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010000991
- Practice address
- 1735 Johnson Ave NW
Unit G
Washington, DC 20009-3894 - Phone
- (786) 374-6896
- NPI assigned
- Sep 24, 2016
- Sex
- Male
- 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 | OT010000991 | DC | Primary |
Addresses
Primary practice location
1735 Johnson Ave NW
Unit G
Washington, DC 20009-3894
Mailing address
1735 Johnson Ave NW
Unit G
Washington, DC 20009-3894
Phone (786) 374-6896
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 |
|---|---|---|---|
| OT010000991 | DC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1982153573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 JOHNSON AVE NW",
"address_2": "UNIT G",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093894",
"telephone_number": "786-374-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 JOHNSON AVE NW",
"address_2": "UNIT G",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093894",
"telephone_number": "786-374-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIJERINO",
"first_name": "DAVID",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-24",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT010000991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.