Individual provider Active NPI

Diane Daniels, OT

  • Occupational Therapist
  • Merrimack, NH
National Provider Identifier
1073673091
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0464 Issued in NH
Practice address
370 Daniel Webster Hwy
Unit 1
Merrimack, NH 03054-4152
Phone
(603) 424-1950
Fax
(603) 424-4749
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 0464 NH Primary

Addresses

Primary practice location

370 Daniel Webster Hwy
Unit 1
Merrimack, NH 03054-4152

Mailing address

370 Daniel Webster Hwy
Unit 1
Merrimack, NH 03054-4152
Phone (603) 424-1950

Other identifiers 2

IdentifierTypeStateIssuer
AA42508OtherNHHARVARD PILGRAM
0464OtherNHOT LICENSE 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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1073673091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 DANIEL WEBSTER HWY",
            "address_2": "UNIT 1",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544152",
            "telephone_number": "603-424-1950",
            "fax_number": "603-424-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DANIEL WEBSTER HWY",
            "address_2": "UNIT 1",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544152",
            "telephone_number": "603-424-1950",
            "fax_number": "603-424-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "AA42508",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE NUMBER",
            "identifier": "0464",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.