Individual provider Active NPI

Dianne Iannitelli, OTR

  • Occupational Therapist
  • Amherst, MA
National Provider Identifier
1487137014
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2450 Issued in MA
Practice address
31 Hall Dr
Valley Medical Group, PC-Amherst Medical Center
Amherst, MA 01002
Phone
(413) 256-8561
Fax
(866) 644-0869
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2450 MA Primary

Addresses

Primary practice location

31 Hall Dr
Valley Medical Group, PC-Amherst Medical Center
Amherst, MA 01002

Mailing address

31 Hall Dr
Valley Medical Group, PC-Amherst Medical Center
Amherst, MA 01002
Phone (413) 256-8561

Other practice location 1

329 Conway St
Valley Medical Group, PC-Greenfield Health Center
Greenfield, MA 01301
Phone (413) 774-6301

Other identifiers 1

IdentifierTypeStateIssuer
2450OtherMASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919002271 MA Practitioner - Occupational Therapist in Private Practice 0446501159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2450MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Occupational Therapist CurrentSince Sep 1, 2018 Accepting new patients
Valley Medical Group, P.C. Occupational Therapist CurrentSince Feb 21, 2022 Accepting new patients
Valley Medical Group, P.C. CurrentSince Feb 21, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist CurrentSince Sep 1, 2018 Accepting new patients
Valley Medical Group, P.C. Occupational Therapist Past Accepting new patients
Carl Gustafson LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

31 Hall Dr
Ste 1
Amherst, MA 01002
Phone (413) 256-8561

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

1661 Worcester Rd
Ste 105
Framingham, MA 01701
Phone (508) 626-2600

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1487137014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "address_2": "VALLEY MEDICAL GROUP, PC-AMHERST MEDICAL CENTER",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01002",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "address_2": "VALLEY MEDICAL GROUP, PC-AMHERST MEDICAL CENTER",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01002",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Conway St",
            "address_2": "Valley Medical Group, PC-Greenfield Health Center",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "01301",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANNITELLI",
        "first_name": "DIANNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2450",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.