Individual provider Active NPI

Dianne Hill Tannreuther, M.S., OTR

  • Pediatric Occupational Therapist
  • Austin, TX
National Provider Identifier
1770660466
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
101591 Issued in TX
Practice address
12501 Hymeadow Dr
Suite F
Austin, TX 78750-2263
Phone
(512) 331-5488
Fax
(512) 331-5489
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 101591 TX Primary

Addresses

Primary practice location

12501 Hymeadow Dr
Suite F
Austin, TX 78750-2263

Mailing address

12501 Hymeadow Dr
Suite F
Austin, TX 78750-2263
Phone (512) 331-5488

Other identifiers 1

IdentifierTypeStateIssuer
CCP105640MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
101591TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Evaluation and Therapy Center Pediatrics Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770660466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR",
            "address_2": "SUITE F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502263",
            "telephone_number": "512-331-5488",
            "fax_number": "512-331-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR",
            "address_2": "SUITE F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502263",
            "telephone_number": "512-331-5488",
            "fax_number": "512-331-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNREUTHER",
        "first_name": "DIANNE",
        "middle_name": "HILL",
        "name_prefix": "Ms.",
        "credential": "M.S., OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "101591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCP105640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.