Diana Lynn Visser-Fartek, OTA16477

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16477 Issued in FL

Practice address

4000 Kings Hwy
Port Charlotte, FL 33980-8718

Phone

(941) 255-9006

NPI assigned

Oct 26, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1194325662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23252 ROUNTREE AVE # 4",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339807302",
            "telephone_number": "239-443-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808718",
            "telephone_number": "941-255-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER-FARTEK",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "OTA16477",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Place Retirement
• Frank Marcos Vina, M.D.
• Virtus Health, LLC
• Visionworks Inc (Visionworks)
• Visionworks, Inc. (Visionworks)
• Kenneth A Visser, PH.D.
• Johanny Vizcarrondo Colon
• Timothy Vogt, PHARMD
• Galina Victorovna Vos
• Kristen Vulgamore, APRN

• Occupational Therapy Assistant in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.