Individual provider Active NPI

Candice Lisa Diamond-Krupitsky, MS OTRL CHT

  • Hand Occupational Therapist
  • Pikesville, MD
National Provider Identifier
1659410116
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
03982 Issued in MD
Practice address
11 Keller Rd
Pikesville, MD 21208-1308
Phone
(410) 415-5260
Fax
(410) 415-5261
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X 03982 MD
Hand Occupational Therapist 225XH1200X 03982 MD Primary
Pediatric Occupational Therapist 225XP0200X 03982 MD

Addresses

Primary practice location

11 Keller Rd
Pikesville, MD 21208-1308

Mailing address

11 Keller Rd
Pikesville, MD 21208-1308
Phone (410) 415-5260

Other names 1

  • Ms. Candice Lisa Diamond Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120628000257 MD Practitioner - Occupational Therapist in Private Practice 6608987052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Therapy, LLCGroup PAC ID 2961617139, 10 clinicians

Practice addresses (Care Compare)

105 Annapolis St
Suite B
Annapolis, MD 21401-1360
Phone (410) 415-5260

11 Keller Rd
Pikesville, MD 21208-1308
Phone (410) 415-5260

4411 Wilkens Ave
Baltimore, MD 21229-4721
Phone (410) 415-5260

7939 Honeygo Blvd
Suite 130
Nottingham, MD 21236-5905
Phone (410) 415-5260

8970 Old Annapolis Rd
Suite F
Columbia, MD 21045-2145
Phone (410) 415-5260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03982MDMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Therapy, LLC Ergonomics CurrentSince Jan 1, 2002 Accepting new patients
Hands on Therapy, LLC Ergonomics CurrentSince May 1, 2001 Accepting new patients
Hands on Therapy, LLC Hand Past Accepting new patients
Hands on Therapy, LLC Hand Past Accepting new patients
Hands on Therapy, LLC Ergonomics Past Accepting new patients

Locations

11 Keller Rd
Pikesville, MD 21208
Phone (410) 415-5260

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1659410116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KELLER RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081308",
            "telephone_number": "410-415-5260",
            "fax_number": "410-415-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KELLER RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081308",
            "telephone_number": "410-415-5260",
            "fax_number": "410-415-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND-KRUPITSKY",
        "first_name": "CANDICE",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "MS OTRL CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "MD",
            "license": "03982",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "03982",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "03982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "DIAMOND",
            "middle_name": "LISA",
            "prefix": "MS.",
            "credential": "MS OTRL CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.