Diane Michelle Thomas, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 005076 Issued in OH

Practice address

2821 Whipple Ave NW
Suite 200
Canton, OH 44708-6215

Phone

(330) 478-1752

Fax

(330) 478-1763

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Diane Michelle Waldsmith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• T. J. Tyler, Inc.

  • Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1376757104
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275557308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183602",
            "telephone_number": "330-493-4210",
            "fax_number": "330-493-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WHIPPLE AVE NW",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086215",
            "telephone_number": "330-478-1752",
            "fax_number": "330-478-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DIANE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT 005076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000134721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "WALDSMITH",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Marie Thomas
• Asha Thomas, CT
• Cathy Jo Thomas
• Christopher Daniel Thomas, DO
• Devehja Thomas
• Dianne Carol Thomas, L.S.W.
• Edward A Thomas Jr., PA-C
• Emily Thomas, DO
• Haydee Thomas, RN
• Heather Thomas

• Pediatric Occupational Therapist in Canton, OH
• Providers in Canton, OH by specialty
• Pediatric Occupational Therapist in Ohio

• 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.