Diane M Phipps, OT ASSISTANT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000452 Issued in CT

Practice address

50 Beach Rd
Wolcott, CT 06716-1902

Phone

(860) 879-8066

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1790031730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEACH RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161902",
            "telephone_number": "860-879-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEACH RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161902",
            "telephone_number": "860-879-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "OT ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markel Pascual, PTA
• Mary Ann Pawson, DC
• Taylor Elizabeth Pearsall, ATC
• Peter Giacomazzi, MD,LLC
• Alexa Rose Phillips, LPCA
• Sandra Porteus, LCSW
• Pride Comprehensive Primary Care LLC
• Pure Essence Center for Wellness and Aesthetics
• R & R MD PC
• Marc N Raad, M.D.

• Occupational Therapy Assistant in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.