Active NPI
Diya Wazirali
- Occupational Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123216
- Practice address
- 5401 La Crosse Ave Ste 101
Austin, TX 78739-2160 - Phone
- (512) 852-8134
- Fax
- (512) 852-8143
- NPI assigned
- Aug 4, 2023
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 123216 | TX | Primary |
Addresses
Primary practice location
5401 La Crosse Ave Ste 101
Austin, TX 78739-2160
Mailing address
23225 Kingsland Blvd Ste 600
Katy, TX 77494-3705
Phone (281) 395-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Boston University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 La Crosse Ave
BLDG C
Austin, TX 78739-2160
Phone (512) 852-8134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
Locations
5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134
5401 La Crosse Ave
Ste 101
Austin, TX 78739
Phone (512) 852-8134
23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1689356024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23225 KINGSLAND BLVD STE 600",
"city": "KATY",
"state": "TX",
"postal_code": "774943705",
"telephone_number": "281-395-9090",
"fax_number": "281-395-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 LA CROSSE AVE STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787392160",
"telephone_number": "512-852-8134",
"fax_number": "512-852-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAZIRALI",
"first_name": "DIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Chabeli Lynn Weary, BCBA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.