NPIMap

Individual provider Active NPI

Felomeno Ramos Diaz Jr., OTR

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1235227448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31001488A Issued in IN
Practice address
3623 Keystone Hills Drive
Evansville, IN 47711-2296
Phone
(812) 475-0864
Fax
(812) 475-0864
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31001488A IN Primary
Occupational Therapist 225X00000X KYR1009 KY

Addresses

Primary practice location

3623 Keystone Hills Drive
Evansville, IN 47711-2296

Mailing address

3623 Keystone Hills Drive
Evansville, IN 47711-2296
Phone (812) 475-0864

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31001488AINMDOccupational Therapist
KYR1009KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Years Rehab Services Inc Occupational Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235227448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 KEYSTONE HILLS DRIVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112296",
            "telephone_number": "812-475-0864",
            "fax_number": "812-475-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 KEYSTONE HILLS DRIVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112296",
            "telephone_number": "812-475-0864",
            "fax_number": "812-475-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "FELOMENO",
        "middle_name": "RAMOS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001488A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KYR1009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.