Individual provider Active NPI

Diana Lynne Scarborough, OTR

  • Occupational Therapist
  • Albany, OR
National Provider Identifier
1568004497
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
404050 Issued in OR
Practice address
3615 Spicer Dr SE
Albany, OR 97322-7043
Phone
(541) 967-7551
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1909 ID
Occupational Therapist 225X00000X 404050 OR Primary

Addresses

Primary practice location

3615 Spicer Dr SE
Albany, OR 97322-7043

Mailing address

526 NW 9TH St
Corvallis, OR 97330-6135
Phone (208) 346-2991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611000971 OR Practitioner - Occupational Therapist in Private Practice 5092257642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1909IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Speech-Language Pathology, Inc CurrentSince Jul 1, 2024 Accepting new patients
Mighty Oaks Children's Therapy Center PastSince Oct 13, 2019 Accepting new patients

Locations

3615 Spicer Dr SE
Albany, OR 97322
Phone (541) 967-7551

1475 Capitol St NE
Salem, OR 97301
Phone (971) 559-1712

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1568004497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306135",
            "telephone_number": "208-346-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SPICER DR SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227043",
            "telephone_number": "541-967-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "DIANA",
        "middle_name": "LYNNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT1909",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "404050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.