Individual provider Active NPI

Diane C Doubleday, OTR/L

  • Occupational Therapist
  • South Royalton, VT
National Provider Identifier
1760648133
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0720000469 Issued in VT
Practice address
223 S Windsor St
South Royalton, VT 05068-9625
Phone
(802) 763-8840
NPI assigned
Aug 5, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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 0720000469 VT Primary

Addresses

Primary practice location

223 S Windsor St
South Royalton, VT 05068-9625

Mailing address

10611 South Rd
Woodstock, VT 05091-4434
Phone (802) 457-3365

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

LicenseStateTypeSpecialty
0720000469VTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1760648133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 SOUTH RD",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050914434",
            "telephone_number": "802-457-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S WINDSOR ST",
            "city": "SOUTH ROYALTON",
            "state": "VT",
            "postal_code": "050689625",
            "telephone_number": "802-763-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLEDAY",
        "first_name": "DIANE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "0720000469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Royalton, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.