Active NPI
Diane Trikakis, OTRL
- Occupational Therapist
- Westborough, MA
National Provider Identifier
1720138944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3165
- Practice address
- Westborough State Hospital
Lyman Street
Westborough, MA 01582 - Phone
- (508) 616-2100
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3165 | MA | Primary |
Addresses
Primary practice location
Westborough State Hospital
Lyman Street
Westborough, MA 01582
Mailing address
Lyman Street
Westborough, MA 01582
Phone (508) 616-2100
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 |
|---|---|---|---|
| 3165 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720138944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LYMAN STREET",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01582",
"telephone_number": "508-616-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTBOROUGH STATE HOSPITAL",
"address_2": "LYMAN STREET",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01582",
"telephone_number": "508-616-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIKAKIS",
"first_name": "DIANE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.