Diana L Gordon, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005201 Issued in MO

Practice address

9132 Fox Estates Dr
Saint Louis, MO 63127-1402

Phone

(314) 753-9166

NPI assigned

May 9, 2019

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

• Diana Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1568028017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 FOX ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271402",
            "telephone_number": "314-753-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 FOX ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271402",
            "telephone_number": "314-753-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9132 Fox Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271402",
            "country_code": "US",
            "telephone_number": "314-753-9166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GORDON",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda B Gordon, FNP
• Andrea Thomas Gordon, D.D.S.
• Ashley Gordon
• Brittney Imani Gordon
• Delores Gordon
• Joe E Gordon, MD
• Jonathan Gordon, PT
• Kaytlyn Gordon, LMSW
• Kristi L Gordon, PNP
• Kristopher Ryan Gordon, DPT

• Occupational Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.