Individual provider Active NPI

Diana Rose Diem

  • Occupational Therapist
  • Selden, NY
National Provider Identifier
1003520917
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
764 Middle Country Rd
Selden, NY 11784-2503
Phone
(631) 760-7800
NPI assigned
Jan 6, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

764 Middle Country Rd
Selden, NY 11784-2503

Mailing address

10 Fenton St
Melville, NY 11747-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001984 NY Practitioner - Occupational Therapist in Private Practice 2163870858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Veterans Memorial Hwy
Hauppauge, NY 11788-2948
Phone 6316767304631676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jan 22, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jan 22, 2024 Accepting new patients
Reddy Care Physical and Occupational Therapy PLLC CurrentSince Oct 30, 2023 Accepting new patients
Hand in Hand Occupational Therapy of Li, PLLC Occupational Therapist CurrentSince Jan 8, 2023 Accepting new patients
Reddy Care Physical Therapy PC PastSince Oct 30, 2023 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

66 Commack Rd
Ste 300
Commack, NY 11725
Phone (631) 486-5286

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

475 Northern Blvd
Ste 19
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 27
Great Neck, NY 11021

800 Vets Hwy
Hauppauge, NY 11788
Phone (631) 676-7304

576 Broadhollow Rd
Melville, NY 11747

764 Middle Country Rd
Selden, NY 11784
Phone (631) 495-5474

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1003520917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FENTON ST",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842503",
            "telephone_number": "631-760-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEM",
        "first_name": "DIANA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.