Active NPI
Diana M Connor, OT
- Occupational Therapist
- Allen, TX
National Provider Identifier
1710103072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110791
- Practice address
- 1780 Estates Pkwy
Allen, TX 75002-8002 - Phone
- (214) 562-5170
- NPI assigned
- Apr 17, 2007
- 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 | 110791 | TX | Primary |
Addresses
Primary practice location
1780 Estates Pkwy
Allen, TX 75002-8002
Mailing address
PO Box 940314
Plano, TX 75094-0314
Phone (214) 562-5170
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110791 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1710103072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940314",
"city": "PLANO",
"state": "TX",
"postal_code": "750940314",
"telephone_number": "214-562-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 ESTATES PKWY",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028002",
"telephone_number": "214-562-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "DIANA",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.