Active NPI
Diane Geralyn Vanbuskirk, OTR/L
- Physical Rehabilitation Occupational Therapist
- Winter Garden, FL
National Provider Identifier
1497279947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT2403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| OT2403 | FL | MD | Physical 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.