Individual provider Active NPI

Diane Marie Jones, O.T.R.

  • Occupational Therapist
  • Schulenburg, TX
National Provider Identifier
1053477422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102058 Issued in TX
Practice address
205 East Ave Ste B
Schulenburg, TX 78956-1646
Phone
(979) 743-4109
Fax
(979) 743-2185
NPI assigned
Dec 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 102058 TX Primary

Addresses

Primary practice location

205 East Ave Ste B
Schulenburg, TX 78956-1646

Mailing address

404 W North St
Weimar, TX 78962-1105
Phone (979) 725-9041

Other identifiers 1

IdentifierTypeStateIssuer
8T3007OtherTXBCBS PROVIDER NUMBER

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

LicenseStateTypeSpecialty
102058TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Manor, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053477422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W NORTH ST",
            "city": "WEIMAR",
            "state": "TX",
            "postal_code": "789621105",
            "telephone_number": "979-725-9041",
            "fax_number": "979-725-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST AVE STE B",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789561646",
            "telephone_number": "979-743-4109",
            "fax_number": "979-743-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8T3007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schulenburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.