Active NPI
Diane Marie Wolfe, MHS, OTR/L
- Occupational Therapist
- Lawrenceville, GA
National Provider Identifier
1710428222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT005057
- Practice address
- 958 Country Oaks CT
Lawrenceville, GA 30044-7505 - Phone
- (678) 591-4780
- NPI assigned
- Mar 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005057 | GA | Primary |
| Occupational Therapist | 225X00000X | 4349 | AL |
Addresses
Primary practice location
958 Country Oaks CT
Lawrenceville, GA 30044-7505
Mailing address
958 Country Oaks CT
Lawrenceville, GA 30044-7505
Phone (678) 591-4780
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 |
|---|---|---|---|
| OT005057 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1710428222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 COUNTRY OAKS CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447505",
"telephone_number": "678-591-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 COUNTRY OAKS CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447505",
"telephone_number": "678-591-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MHS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT005057",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
- Esther Brooks Witter, CCC-SLP
- Gerrard Wofford
- Bersabell Hirut Woldetsadik
- Jillian Bailey Wolf, DO
- Mollie Rose Wolf, PA-C
- James Alan Wolfe, M.D.
- Wesley Shane Wolfer, PA-C, RRT
- Women'S Healthcare Consultants of Gwinnett, PC
- Women'S Imaging Specialists - Gwinnett, LLC
- Women'S Imaging Specialists - Lawrenceville, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.