Individual provider Active NPI

Diane Doyle Gubisch, PH.D, OTR/L

  • Occupational Therapist
  • Silver Spring, MD
National Provider Identifier
1295901825
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0229 Issued in MD
Practice address
17217 Emerson Dr
Silver Spring, MD 20905-3752
Phone
(301) 260-0316
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2299 MD
Occupational Therapist 225X00000X 0229 MD Primary

Addresses

Primary practice location

17217 Emerson Dr
Silver Spring, MD 20905-3752

Mailing address

17217 Emerson Dr
Silver Spring, MD 20905-3752
Phone (301) 260-0316

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02299MDMDClinical Psychologist
2299MDMDSpecialist
0229MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Ability OT, LLC CurrentSince Oct 17, 2021 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": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1295901825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 EMERSON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053752",
            "telephone_number": "301-260-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17217 EMERSON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053752",
            "telephone_number": "301-260-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBISCH",
        "first_name": "DIANE",
        "middle_name": "DOYLE",
        "name_prefix": "Mrs.",
        "credential": "PH.D, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "2299",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "0229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.