Kristine Elizabeth Dibos, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

280739 Issued in OR

Practice address

11 E 27TH Ave
Eugene, OR 97405-3613

Phone

(541) 255-2681

NPI assigned

May 31, 2012

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

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Connect the Dots Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • Eugene, OR
  • NPI 1285074633
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1619238102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 BEST LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015090",
            "telephone_number": "816-536-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 27TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053613",
            "telephone_number": "541-255-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBOS",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "280739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Diama
• Diane L Baird MD PC
• Willy Anthony Diaz Tapia
• Cameron Diaz-Johnson, PHD, LP
• Cristina Marie Diaz, SWI
• Nicholas Ryan Dibos
• James Wiley Dickerson III, MD
• Elizabeth Dickey
• Virgil Andrew Dickey Jr., N/A
• Zachary Dickison

• Occupational Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.