1285079780 NPI number — SHANIE DASRATH MOT, OTD, OTRL, LMT

NPI Number: 1285079780
Health Care Provider/Practitioner: SHANIE DASRATH MOT, OTD, OTRL, LMT

NPI Number : 1285079780 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285079780",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DASRATH",
    "FirstName": "SHANIE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MOT, OTD, OTRL, LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1108 SW 11TH LN UNIT 401",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANKENY",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50023-1777",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-257-6572",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1108 SW 11TH LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANKENY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50023-1766",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-257-6572",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/10/2013",
    "LastUpdateDate": "10/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "09/23/2018",
    "NPIReactivationDate": "06/25/2020",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "MA131383",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT131388",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}