Diane Ballard Thomson, MS, OTR/L, ATP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003167 Issued in MI

Practice address

261 Mack Ave
Detroit, MI 48201-2417

Phone

(313) 745-1004

Fax

(313) 745-9064

NPI assigned

May 23, 2018

Last updated

May 23, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1568953859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 PEARL CT",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309489",
            "telephone_number": "734-604-1498",
            "fax_number": "313-745-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-745-1004",
            "fax_number": "313-745-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "DIANE",
        "middle_name": "BALLARD",
        "credential": "MS, OTR/L, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bradford Thompson, PA
• Stefani Marie Thompson, MD
• Tamara Thompson
• Tamika Nicole Thompson, DDS
• Victoria Thompson, NONE
• Julie Thomson, PHARM.D.
• Thoracic Surgical Services, PC
• Dominic William Thorley, DO
• Anzeleaise Ariea Thorns
• Andrea Rose Thornsberry

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.