Active NPI
Diane Victoria Buhler, COTA
- Occupational Therapy Assistant
- St Augustine, FL
National Provider Identifier
1346704392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA12286
- Practice address
- 7145 A1A S Unit 24
St Augustine, FL 32080-8113 - Phone
- (845) 418-0390
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | OTA12286 | FL | Primary |
Addresses
Primary practice location
7145 A1A S Unit 24
St Augustine, FL 32080-8113
Mailing address
7145 A1A S Unit 24
St Augustine, FL 32080-8113
Phone (845) 418-0390
Other practice location 1
7145 A1A S Unit 24
St Augustine, FL 32080-8113
Phone (845) 418-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA12286 | Other | FL | STATE LICENSE |
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 |
|---|---|---|---|
| OTA12286 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1346704392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 A1A S UNIT 24",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320808113",
"telephone_number": "845-418-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 A1A S UNIT 24",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320808113",
"telephone_number": "845-418-0390"
}
],
"practiceLocations": [
{
"address_1": "7145 A1A S Unit 24",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320808113",
"country_code": "US",
"telephone_number": "845-418-0390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUHLER",
"first_name": "DIANE",
"middle_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA12286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OTA12286",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.