Active NPI
Diane O'Malley, OTR
- Environmental Modification Occupational Therapist
- Venice, FL
National Provider Identifier
1639405897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- License
- OT-13801
- Practice address
- 518 Circlewood Dr
Venice, FL 34293-7019 - Phone
- (802) 989-5216
- NPI assigned
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | OT-13801 | FL | Primary |
| Occupational Therapist | 225X00000X | 072-000042 | VT |
Addresses
Primary practice location
518 Circlewood Dr
Venice, FL 34293-7019
Mailing address
518 Circlewood Dr
Venice, FL 34293-7019
Phone (802) 989-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072-000042 | VT | MD | Occupational Therapist |
| OT-13801 | FL | MD | Environmental Modification Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1639405897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 CIRCLEWOOD DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342937019",
"telephone_number": "802-989-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 CIRCLEWOOD DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342937019",
"telephone_number": "802-989-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "DIANE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "FL",
"license": "OT-13801",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "072-000042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.