Diego Fernando Herrera Gutierrez, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

13333 Issued in NC

Practice address

6000 Meadowbrook Mall CT Ste 22
Clemmons, NC 27012-8775

Phone

(336) 778-0292

NPI assigned

Dec 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Complete Rehab

  • Occupational Therapist
  • Clemmons, NC
  • NPI 1699967547

  Single Specialty

  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1710583398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SALEM SPRINGS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071594",
            "telephone_number": "743-201-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEADOWBROOK MALL CT STE 22",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128775",
            "telephone_number": "336-778-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA GUTIERREZ",
        "first_name": "DIEGO",
        "middle_name": "FERNANDO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NC",
            "license": "13333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Warren Hein, M.D.
• Melissa Ann Helman, M.D.
• Steven Edward Helman, M.D.
• Camilla Elizabeth Helton, PA
• Sherry Henning
• Taylor Hewett, DMD
• Raven Lavette Hewitt, PHARMD
• Ashlie Hickman
• Adrienne Robbins Hill, DO
• Ava Hirshberg

• Physical Rehabilitation Occupational Therapist in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Physical Rehabilitation Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.