Cody Dylan Dimino

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

11-0142 Issued in NV

Practice address

7361 Prairie Falcon Rd Ste 130
Las Vegas, NV 89128-0824

Phone

(702) 804-1511

NPI assigned

Dec 1, 2011

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

Other names 1

• Cody Dylan Baxter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1689942971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SPRINGDALE DR STE 200",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280824",
            "telephone_number": "702-804-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMINO",
        "first_name": "CODY",
        "middle_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "11-0142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "BAXTER",
            "middle_name": "DYLAN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Goldyn Dimasin, APRN
• Janina Dimayuga
• Hana Isayas Dime
• Valerie Dimick, MSW-LCSW
• Amber Dimino
• Nicole Dimino
• Kyle Dimmitt
• Olga Dimos
• Phillip Dimotsantos
• Dennis Dimzon

• Pediatric Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.