Active NPI
Jodi Dietz, OTR/L
- Occupational Therapist
- Frisco, TX
National Provider Identifier
1063852549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122604
- Practice address
- 255 W Lebanon Ste 316
Frisco, TX 75036-3415 - Phone
- (817) 479-7019
- NPI assigned
- Jun 28, 2013
- Last updated
- Feb 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 122604 | TX | Primary |
Addresses
Primary practice location
255 W Lebanon Ste 316
Frisco, TX 75036-3415
Mailing address
416 Turkey Creek Dr
McKinney, TX 75071-1901
Phone (561) 504-4653
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 |
|---|---|---|---|
| 122604 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monkey Mouths, PLLC | Occupational Therapist | 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": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676678400000",
"number": "1063852549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 TURKEY CREEK DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750711901",
"telephone_number": "561-504-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LEBANON STE 316",
"city": "FRISCO",
"state": "TX",
"postal_code": "750363415",
"telephone_number": "817-479-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETZ",
"first_name": "JODI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.