Ashley Dietz, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Grand Island, NY
NPI 1164070025 · NPPES record last updated Sep 3, 2019
Key facts
- NPI
- 1164070025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 010203-01 (NY)
- Practice address
- 2451 Baseline Rd
Grand Island, NY 14072-1657 - Phone
- (716) 773-8870
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010203-01 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 010203-01 | NY | Yes |
Addresses
Primary practice location
2451 Baseline Rd
Grand Island, NY 14072-1657
Mailing address
112 Weyand Ave
Buffalo, NY 14210-2371
Phone (716) 308-2205
Other providers in Grand Island, NY
- Linda Ann Decarolis
- Jessica Decker
- Jodie Decourcey
- Sabrina Defilippis
- Dana Deluke
- Kathleen Kennedy Dilaura
- Lisa Dolan
- Dr. Cassata Eye Care Optometrist, P.C.
- Dr. Maria Jereva
- East River RP Holdings LLC
All providers in Grand Island, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.