Diane Lynn Collett, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131000084 Issued in VA

Practice address

413 McClellan St
Berryville, VA 22611-1420

Phone

(540) 955-2802

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1154630754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 OLD CHARLES TOWN RD",
            "city": "STEPHENSON",
            "state": "VA",
            "postal_code": "226561822",
            "telephone_number": "540-722-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MCCLELLAN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111420",
            "telephone_number": "540-955-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Casey, PT
• Charles B Twigg
• Lory Chrane, MA,CCC/SLP
• Clarke County Fire & EMS
• Clarke County Publlic Schools
• Commonwealth of Virginia State Board of Health
• Cool Spring Physical Therapy, Inc
• Maria M Corredor Espinosa
• Elizabeth Sara Davis, MS, MPH
• Mary Jo Sarah Davis, L.C.S.W.

• All providers in Berryville, VA
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.