Merla Diesta Deo, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

2002012789 Issued in MO

Practice address

620 N Jefferson St
Saint James, MO 65559-1926

Phone

(573) 265-3271

Fax

(573) 265-5771

NPI assigned

Dec 30, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1366712853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653550383",
            "telephone_number": "660-438-6993",
            "fax_number": "660-438-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591926",
            "telephone_number": "573-265-3271",
            "fax_number": "573-265-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEO",
        "first_name": "MERLA",
        "middle_name": "DIESTA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MO",
            "license": "2002012789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry H. Cloninger, L.P.C.
• Leah Rae Conaway, M.A., CF-SLP
• Arti Dautenhahn, MA, PLPC
• Brenda Lee Davis, LMSW
• Sandra Kay Dempsey, P.A. - C.
• Mary Frances Downey-Jones, PLPC
• Christine G Durbin, FNP
• Kathy Lynn Eller
• Shauna Evans
• Ferndale Inc

• All providers in Saint James, MO
• Physical Rehabilitation Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.