Tara K Diggs, MORT/L
Individual provider Active NPI Occupational Therapist · Winfield, MO
NPI 1477046233 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1477046233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2016004144 (MO)
- Practice address
- 119 Beth Ann Dr
Winfield, MO 63389-2001 - Phone
- (573) 318-4365
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016004144 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy 4 Kids LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MO | ||
| Occupational Therapist | 225X00000X | 2016004144 | MO | Yes |
Addresses
Primary practice location
119 Beth Ann Dr
Winfield, MO 63389-2001
Mailing address
119 Beth Ann Dr
Winfield, MO 63389-2001
Phone (573) 318-4365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477046233 | Medicaid | MO |
Other providers in Winfield, MO
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- Cindy Suzanne Dearing
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- Jessica Muensterman Downs
- Elise Dunard
- Candice Erickson
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- Grismeldy E Gomez
All providers in Winfield, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.