Active NPI
Dianna Kay Persun, OTR
- Occupational Therapist
- Edmond, OK
National Provider Identifier
1780703199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1073 N Bryant
Suite 100
Edmond, OK 73034-3667 - Phone
- (405) 923-9672
- Fax
- (800) 680-9132
- NPI assigned
- Mar 28, 2007
- 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 Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1073 N Bryant
Suite 100
Edmond, OK 73034-3667
Mailing address
1073 N Bryant
Suite 100
Edmond, OK 73034-3667
Phone (405) 923-9672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT866 | Other | OK | OCCUPATIONAL THERAPIST |
| 200128980A | Medicaid | OK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can DO Kids Therapy | Current | Accepting new patients |
Locations
1073 N Bryant Ave
Ste 100
Edmond, OK 73034
Phone (405) 513-8186
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.
-
- Specialist
- Edmond, OK
- NPI 1033397344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1780703199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 N BRYANT",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343667",
"telephone_number": "405-923-9672",
"fax_number": "800-680-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 N BRYANT",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343667",
"telephone_number": "405-923-9672",
"fax_number": "800-680-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSUN",
"first_name": "DIANNA",
"middle_name": "KAY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT866",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200128980A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.