Active NPI
Diane Lynn Freitas, OTR
- Occupational Therapist
- Webb City, MO
National Provider Identifier
1114040318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003121
- Practice address
- 411 N Madison St
Webb City, MO 64870-1238 - Phone
- (417) 673-6000
- NPI assigned
- Apr 10, 2007
- 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 | 003121 | MO | Primary |
Addresses
Primary practice location
411 N Madison St
Webb City, MO 64870-1238
Mailing address
2806 Delaware Ave
Joplin, MO 64804-3042
Phone (417) 625-1749
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 |
|---|---|---|---|
| 003121 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb City R-7 School District | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Webb City, MO
- NPI 1033245790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114040318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 DELAWARE AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043042",
"telephone_number": "417-625-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N MADISON ST",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648701238",
"telephone_number": "417-673-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "DIANE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "003121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webb City, MO
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.