Active NPI
Diane Herman, OTR/L
- Occupational Therapist
- Warren, OH
National Provider Identifier
1356519904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 6549
- Practice address
- 4329 Mahoning Ave NW Ste B
Warren, OH 44483-1974 - Phone
- (330) 847-7819
- Fax
- (330) 847-8192
- NPI assigned
- Feb 18, 2008
- 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 Therapist | 225X00000X | OT 6549 | OH | Primary |
Addresses
Primary practice location
4329 Mahoning Ave NW Ste B
Warren, OH 44483-1974
Mailing address
510 W Main St Ste B
Canfield, OH 44406-1454
Phone (330) 702-0110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6549 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1356519904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W MAIN ST STE B",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061454",
"telephone_number": "330-702-0110",
"fax_number": "330-702-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4329 MAHONING AVE NW STE B",
"city": "WARREN",
"state": "OH",
"postal_code": "444831974",
"telephone_number": "330-847-7819",
"fax_number": "330-847-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "DIANE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT 6549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.