Active NPI
Dietri Diann Spears, LOT
- Occupational Therapist
- Sugar Land, TX
National Provider Identifier
1336473354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103341
- Practice address
- 13023 Brynwood LN
Sugar Land, TX 77498-7415 - Phone
- (713) 819-1252
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103341 | TX | Primary |
Addresses
Primary practice location
13023 Brynwood LN
Sugar Land, TX 77498-7415
Mailing address
13023 Brynwood Lane
Sugar Land, TX 77498
Phone (713) 819-1252
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 |
|---|---|---|---|
| 103341 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1336473354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13023 BRYNWOOD LANE",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77498",
"telephone_number": "713-819-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13023 BRYNWOOD LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774987415",
"telephone_number": "713-819-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "DIETRI",
"middle_name": "DIANN",
"credential": "LOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.