Individual provider Active NPI

Diane Valeria Krasicky, OT

  • Occupational Therapist
  • Sterling Heights, MI
National Provider Identifier
1720226152
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000836 Issued in MI
Practice address
14560 Lakeside Cir
Sterling Heights, MI 48313-1350
Phone
(586) 532-9334
Fax
(586) 532-9334
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201000836 MI Primary

Addresses

Primary practice location

14560 Lakeside Cir
Sterling Heights, MI 48313-1350

Mailing address

14560 Lakeside Cir
Sterling Heights, MI 48313-1350
Phone (586) 566-6416

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1720226152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131350",
            "telephone_number": "586-566-6416",
            "fax_number": "586-532-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131350",
            "telephone_number": "586-532-9334",
            "fax_number": "586-532-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASICKY",
        "first_name": "DIANE",
        "middle_name": "VALERIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.