Active NPI
Diana Dorothy Stoll, MSOT, OTR/L
- Occupational Therapist
- Bohemia, NY
National Provider Identifier
1154899862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023106
- Practice address
- 75 Nathan Dr
Bohemia, NY 11716-1317 - Phone
- (631) 704-7079
- NPI assigned
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 023106 | NY | Primary |
Addresses
Primary practice location
75 Nathan Dr
Bohemia, NY 11716-1317
Mailing address
75 Nathan Dr
Bohemia, NY 11716-1317
Phone (631) 704-7079
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": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1154899862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NATHAN DR",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161317",
"telephone_number": "631-704-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NATHAN DR",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161317",
"telephone_number": "631-704-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLL",
"first_name": "DIANA",
"middle_name": "DOROTHY",
"credential": "MSOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.