William Diez, OTR/OTL
Individual provider Active NPI Occupational Therapist · Windsor, VT
NPI 1710647243 · NPPES record last updated Dec 24, 2021
Key facts
- NPI
- 1710647243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 072.0134237 (VT)
- Practice address
- 92 Cedar Hill Dr
Windsor, VT 05089-4436 - Phone
- (802) 674-2254
- NPI assigned
- Dec 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072.0134237 | VT | MD | Occupational Therapist |
| 5813 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 072.0134237 | VT | Yes |
Addresses
Primary practice location
92 Cedar Hill Dr
Windsor, VT 05089-4436
Mailing address
92 Cedar Hill Dr
Windsor, VT 05089-4436
Other providers in Windsor, VT
- Connecticut Valley Recovery Services, Inc.
- Christopher C Connor
- Heidi M Cruz
- Elizabeth A Derry
- Katherine Devine
- Ginger Dockum
- Dorina Kramer, DDS
- Ruth E Dougher
- Elizabeth Smith Therapy, LLC
- Enrico Wensing
All providers in Windsor, VT · Occupational Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.