Diane Marie Gassiraro

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1303 Gerber Woods Dr
Edwardsville, IL 62025-3102

Phone

(618) 659-0959

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Pediatric Occupational Therapy Inc.

  • Home Health Agency
  • Edwardsville, IL
  • NPI 1174995047
  NPD (past) Authorized official
• Diane Gassiraro PC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1104969211
  NPD (past) Authorized official

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1790958577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 GERBER WOODS DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GERBER WOODS DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253102",
            "telephone_number": "618-659-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSIRARO",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0006027820",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Lynn Garber, SLP
• Teresa Marie Garbett, RPH
• Teresa L Garrels, PT
• Stacie Gartelos, P.T.
• Justin John Gasper, D.O.
• Grace Angelina Gassiraro, BSW
• Nicholas Charles Gayeski, MSN, RN
• Kathryn Gayler
• Robert Geldert III, OTR/L
• Abbie Elizabeth George

• Occupational Therapist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.