Active NPI
Diana Isabel Garza, OT
- Occupational Therapist
- Longview, TX
National Provider Identifier
1821283128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109856
- Practice address
- 107 Woodbine PL Unit 775
Longview, TX 75601-2912 - Phone
- (903) 757-8194
- Fax
- (903) 757-8294
- NPI assigned
- Sep 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 109856 | TX | |
| Occupational Therapist | 225X00000X | 109856 | TX | Primary |
Addresses
Primary practice location
107 Woodbine PL Unit 775
Longview, TX 75601-2912
Mailing address
107 Woodbine PL Unit 775
Longview, TX 75601-2912
Phone (903) 757-8194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210886201 | Medicaid | TX | |
| 0217382-01 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109856 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Success | Past | Accepting new patients | |
| Sabine Valley Regional MHMR Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Harlingen, TX
- NPI 1093891053
-
- Specialist
- Longview, TX
- NPI 1821214537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1821283128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WOODBINE PL UNIT 775",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-757-8194",
"fax_number": "903-757-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WOODBINE PL UNIT 775",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-757-8194",
"fax_number": "903-757-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "DIANA",
"middle_name": "ISABEL",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "109856",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210886201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0217382-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.