Active NPI
Diamond Hill
- Occupational Therapist
- Brooklyn Center, MN
National Provider Identifier
1508498866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107190
- Practice address
- 6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849 - Phone
- (612) 331-9413
- NPI assigned
- Feb 5, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107190 | MN | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Mailing address
6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Phone (612) 331-9413
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 |
|---|---|---|---|
| 107190 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovaas Institute for Early Intervention - Midwest, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bloomington, MN
- NPI 1487732764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1508498866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 PARKWAY CIR STE 300",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302849",
"telephone_number": "612-331-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 PARKWAY CIR STE 300",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302849",
"telephone_number": "612-331-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "DIAMOND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107190",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.