Individual provider Active NPI

Diana Mary Croom Atkins, OTD OTR

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1760685408
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-7384 Issued in FL
Practice address
3019 SW 27TH Ave
Suite 202
Ocala, FL 34471-1826
Phone
(352) 275-5778
NPI assigned
Jun 8, 2007
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 OT-7384 FL Primary

Addresses

Primary practice location

3019 SW 27TH Ave
Suite 202
Ocala, FL 34471-1826

Mailing address

3019 SW 27TH Ave Ste 202
Ocala, FL 34471-1827
Phone (352) 275-5778

Other identifiers 1

IdentifierTypeStateIssuer
8905649MedicaidFL

Other names 1

  • Diana Mary Croom Former name

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
OT-7384FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1760685408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 SW 27TH AVE STE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711827",
            "telephone_number": "352-275-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 SW 27TH AVE",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711826",
            "telephone_number": "352-275-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOM ATKINS",
        "first_name": "DIANA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "OTD  OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-7384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8905649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CROOM",
            "middle_name": "MARY",
            "credential": "OTD, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.