Individual provider Active NPI

Diane Denise Rodriguez, OTR

  • Pediatric Occupational Therapist
  • El Paso, TX
National Provider Identifier
1730337973
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
109054 Issued in TX
Practice address
1920 N Zaragoza Rd
Suite 108
El Paso, TX 79938-4655
Phone
(915) 276-8700
Fax
(800) 971-7978
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 109054 TX
Pediatric Occupational Therapist 225XP0200X 109054 TX Primary

Addresses

Primary practice location

1920 N Zaragoza Rd
Suite 108
El Paso, TX 79938-4655

Mailing address

1920 N Zaragoza Rd
Suite 108
El Paso, TX 79938-4655
Phone (915) 276-8700

Other identifiers 1

IdentifierTypeStateIssuer
3228066MedicaidTX

Other names 1

  • Ms. Diane Denise Hayashi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328001768 TX Practitioner - Occupational Therapist in Private Practice 4486881562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
M and D LegacyGroup PAC ID 6406083575, 3 clinicians

Practice addresses (Care Compare)

9244 Gateway Blvd E
Suite a
El Paso, TX 79907-1848
Phone 9152135490106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109054TXMDOccupational Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1730337973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD",
            "address_2": "SUITE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384655",
            "telephone_number": "915-276-8700",
            "fax_number": "800-971-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N ZARAGOZA RD",
            "address_2": "SUITE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384655",
            "telephone_number": "915-276-8700",
            "fax_number": "800-971-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109054",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "109054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3228066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HAYASHI",
            "middle_name": "DENISE",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.