Diana Calderon, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008545 Issued in MI

Practice address

7971 Moorsbridge Rd
Portage, MI 49024-4075

Phone

(269) 321-0929

Fax

(269) 321-0929

NPI assigned

Jul 1, 2015

Last updated

Jul 1, 2015By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Great Lakes Hand Therapy PCGroup PAC ID 0840109930, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Hand Therapy PC

  dba Hand Therapy of Michigan

  • Occupational Therapist
  • Portage, MI
  • NPI 1437378932
  Medicare reassignment Care Compare group NPD
• Tmi East, Inc.

  dba Everactive Therapy

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment Care Compare group NPD
• Great Lakes Hand Therapy PC

  dba Hand Therapy of Michigan

  • Occupational Therapist
  • Portage, MI
  • NPI 1073037313
  NPD

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1386027977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244075",
            "telephone_number": "269-321-0929",
            "fax_number": "269-321-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244075",
            "telephone_number": "269-321-0929",
            "fax_number": "269-321-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "DIANA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M. Busha, MD
• Ashley Bushong
• Amanda M Bustle, CPNP
• Jennifer Buysse
• Patricia Byrne, RPH
• Aerion Caldwell
• Erin Callahan
• Janis Callahan
• Erin Camburn
• Amber Deshaun Campbell, MD

• Occupational Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.