Individual provider Active NPI

Dan Diamond, OTR

  • Occupational Therapist
  • Plymouth, MI
National Provider Identifier
1023206349
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004951 Issued in MI
Practice address
127 S Main St
Suite 111
Plymouth, MI 48170-1791
Phone
(734) 354-8000
Fax
(734) 207-5291
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 5201004951 MI Primary

Addresses

Primary practice location

127 S Main St
Suite 111
Plymouth, MI 48170-1791

Mailing address

127 S Main St
Suite 111
Plymouth, MI 48170-1791
Phone (734) 354-8000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201004951MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Home Health Care, Inc. Current Accepting new patients
Tmi East, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Diamond Home Health Care, Inc Current Accepting new patients

Organizations & group practices 3

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1023206349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701791",
            "telephone_number": "734-354-8000",
            "fax_number": "734-207-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701791",
            "telephone_number": "734-354-8000",
            "fax_number": "734-207-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "DAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.