Individual provider Active NPI

Diane Geralyn Vanbuskirk, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Winter Garden, FL
National Provider Identifier
1497279947
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT2403 Issued in FL
Practice address
3131 Daniels Rd Ste 106
Winter Garden, FL 34787-7013
Phone
(407) 614-0575
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Physical Rehabilitation Occupational Therapist 225XP0019X OT2403 FL Primary

Addresses

Primary practice location

3131 Daniels Rd Ste 106
Winter Garden, FL 34787-7013

Mailing address

3131 Daniels Rd Ste 106
Winter Garden, FL 34787-7013
Phone (407) 614-0575

Other practice location 1

615 E Princeton St Ste 104
Orlando, FL 32803-1435
Phone (407) 303-1575 ext. 3

Other names 1

  • Miss Diane Geralyn Nasuta Former name

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

LicenseStateTypeSpecialty
OT2403FLMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497279947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 DANIELS RD STE 106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877013",
            "telephone_number": "407-614-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 DANIELS RD STE 106",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877013",
            "telephone_number": "407-614-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Princeton St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031435",
            "country_code": "US",
            "telephone_number": "407-303-1575 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBUSKIRK",
        "first_name": "DIANE",
        "middle_name": "GERALYN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "NASUTA",
            "middle_name": "GERALYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.