Individual provider Active NPI

Diane Louise Gabanyic, MS OTR L

  • Occupational Therapist
  • Rock Hill, SC
National Provider Identifier
1265419055
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
430 Issued in SC
Practice address
129 Hampton St
Rock Hill, SC 29730-4509
Phone
(803) 980-4900
Fax
(803) 980-4902
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 430 SC Primary

Addresses

Primary practice location

129 Hampton St
Rock Hill, SC 29730-4509

Mailing address

129 Hampton St
Rock Hill, SC 29730-4509
Phone (803) 980-4900

Other identifiers 1

IdentifierTypeStateIssuer
TH0256MedicaidSC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
430SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pediatric Therapy Occupational Therapist Past Accepting new patients
Carolina Pediatric Therapy Past Accepting new patients

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265419055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HAMPTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304509",
            "telephone_number": "803-980-4900",
            "fax_number": "803-980-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 HAMPTON ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304509",
            "telephone_number": "803-980-4900",
            "fax_number": "803-980-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABANYIC",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MS OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0256",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.