Active NPI
Diana Marie Tompkins, OTR/L
- Pediatric Occupational Therapist
- Statesboro, GA
National Provider Identifier
1205011194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT003264
- Practice address
- 109 S Zetterower Ave
Statesboro, GA 30458-4898 - Phone
- (912) 489-1258
- Fax
- (912) 764-7006
- NPI assigned
- Jan 9, 2008
- Last updated
- Jan 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT003264 | GA | Primary |
Addresses
Primary practice location
109 S Zetterower Ave
Statesboro, GA 30458-4898
Mailing address
1099 Johnny Brannen Rd
Statesboro, GA 30458-6576
Phone (912) 856-3247
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT003264 | GA | MD | Pediatric Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Statesboro, GA
- NPI 1821255522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200700800000",
"number": "1205011194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 JOHNNY BRANNEN RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304586576",
"telephone_number": "912-856-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S ZETTEROWER AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584898",
"telephone_number": "912-489-1258",
"fax_number": "912-764-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "DIANA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT003264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- Toi L. Curry, Psy.D., P.C.
- Brenda Leigh Tolksdorf, CRNA
- Tolman Therapy Services, LLC
- Danielle V Tolman, PT
- Casey Tomlinson
- Total Renal Care Inc (Nephrology Center of Statesboro)
- Martha Elizabeth Toussaint, DOCTOR OF PHARMACY
- Terrens Toussaint
- Town and Campus Retailers, Inc.
- Transformations of Statesboro LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.