Active NPI
Diane Marie Ward, O.T.R.
- Occupational Therapist
- Boulder, CO
National Provider Identifier
1467660795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- AA453779
- Practice address
- 798 Hartford Dr
Boulder, CO 80305-5719 - Phone
- (303) 494-0226
- NPI assigned
- May 18, 2007
- 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 | AA453779 | CO | Primary |
Addresses
Primary practice location
798 Hartford Dr
Boulder, CO 80305-5719
Mailing address
798 Hartford Dr
Boulder, CO 80305-5719
Phone (303) 494-0226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453779 | Other | CO | AOTA |
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 |
|---|---|---|---|
| AA453779 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467660795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 HARTFORD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055719",
"telephone_number": "303-494-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 HARTFORD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055719",
"telephone_number": "303-494-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "AA453779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AOTA",
"identifier": "453779",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.