Individual provider Active NPI

Diane Willette Walker, OTR/L

Occupational Therapist
Billerica, MA

National Provider Identifier

1124647730

Registry record updated Apr 14, 2020

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Billerica, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Occupational TherapistTaxonomy code 225X00000X
License: 3137 Issued in MA
Practice address: 179 Baldwin Rd
Billerica, MA 01821-3013
Phone: (978) 376-6990
NPI assigned: Apr 14, 2020
Sex: Female
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 15

Specialty (taxonomy)	Code	License	State	Primary
Environmental Modification Occupational Therapist	225XE0001X	3137	MA
Occupational Therapist	225X00000X	1370	NH
Environmental Modification Occupational Therapist	225XE0001X	1370	NH
Gerontology Occupational Therapist	225XG0600X	3137	MA
Gerontology Occupational Therapist	225XG0600X	1370	NH
Human Factors Occupational Therapist	225XH1300X	3137	MA
Human Factors Occupational Therapist	225XH1300X	1370	NH
Low Vision Occupational Therapist	225XL0004X	3137	MA
Low Vision Occupational Therapist	225XL0004X	1370	NH
Neurorehabilitation Occupational Therapist	225XN1300X	3137	MA
Neurorehabilitation Occupational Therapist	225XN1300X	1370	NH
Physical Rehabilitation Occupational Therapist	225XP0019X	3137	MA
Physical Rehabilitation Occupational Therapist	225XP0019X	1370	NH
Driving and Community Mobility Occupational Therapist	225XR0403X	3137	MA
Occupational Therapist	225X00000X	3137	MA	Primary

Addresses

Primary practice location

179 Baldwin Rd
Billerica, MA 01821-3013

Mailing address

179 Baldwin Rd
Billerica, MA 01821-3013
Phone (978) 376-6990

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
Other URL	mail	Direct

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1124647730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BALDWIN RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213013",
            "telephone_number": "978-376-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BALDWIN RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213013",
            "telephone_number": "978-376-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DIANE",
        "middle_name": "WILLETTE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NH",
            "license": "1370",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "MA",
            "license": "3137",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "179 Baldwin Rd",
            "city": "Billerica",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018213013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.