Active NPI
Diane Loughren, OTR/L
- Physical Rehabilitation Occupational Therapist
- Oberlin, OH
National Provider Identifier
1104360494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT - 2753
- Practice address
- 600 Kendal Dr
Oberlin, OH 44074-1900 - Phone
- (440) 775-9816
- Fax
- (440) 775-9854
- NPI assigned
- Dec 6, 2016
- Last updated
- Dec 6, 2016
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT - 2753 | OH | Primary |
Addresses
Primary practice location
600 Kendal Dr
Oberlin, OH 44074-1900
Mailing address
600 Kendal Dr
Oberlin, OH 44074-1900
Phone (440) 775-9816
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 |
|---|---|---|---|
| OT - 2753 | OH | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1104360494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 KENDAL DR",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741900",
"telephone_number": "440-775-9816",
"fax_number": "440-775-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 KENDAL DR",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741900",
"telephone_number": "440-775-9816",
"fax_number": "440-775-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHREN",
"first_name": "DIANE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OH",
"license": "OT - 2753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.