Dianne Lynn Sepulvado, OT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2200 Southwest Fwy
Ste 500
Houston, TX 77098-4710

Phone

(713) 526-6143

Fax

(713) 527-8215

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dianne Lynn Waddell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508931577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S SHADOW GROVE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692427",
            "telephone_number": "832-595-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SOUTHWEST FWY",
            "address_2": "STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984710",
            "telephone_number": "713-526-6143",
            "fax_number": "713-527-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVADO",
        "first_name": "DIANNE",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "WADDELL",
            "middle_name": "LYNN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seoul Optical LLC
• Caraline Sepich
• Sarah Sepolio, LMFT
• Edward J. Septimus, MD
• Kristie Septs
• Walfrido Sepulveda-Torres, MD
• Karla A Sepulveda, MD
• Kimberly Sepulveda
• Raul Sepulveda, MD
• Selena Ling Sepulveda, APRN-CNP

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.