Active NPI
Diana Lee Madrid, OTA 7665
- Occupational Therapy Assistant
- Inverness, FL
National Provider Identifier
1750540928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 7665
- Practice address
- 817 Oak St
Inverness, FL 34452-6415 - Phone
- (352) 860-2222
- Fax
- (352) 860-2223
- NPI assigned
- Jun 3, 2008
- 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 Therapy Assistant | 224Z00000X | OTA 7665 | FL | Primary |
Addresses
Primary practice location
817 Oak St
Inverness, FL 34452-6415
Mailing address
817 Oak St
Inverness, FL 34452-6415
Phone (352) 860-2222
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 |
|---|---|---|---|
| OTA 7665 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1750540928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 OAK ST",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344526415",
"telephone_number": "352-860-2222",
"fax_number": "352-860-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 OAK ST",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344526415",
"telephone_number": "352-860-2222",
"fax_number": "352-860-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "DIANA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "OTA 7665",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 7665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.