Active NPI
Savannah Diaz, OTR/L
- Hand Occupational Therapist
- Boise, ID
National Provider Identifier
1821606419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 2153
- Practice address
- 901 N Curtis Rd Ste 204
Boise, ID 83706-1340 - Phone
- (208) 367-3315
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 16672 | CA | |
| Hand Occupational Therapist | 225XH1200X | 2153 | ID | Primary |
Addresses
Primary practice location
901 N Curtis Rd Ste 204
Boise, ID 83706-1340
Mailing address
2630 E Tulare Ave
Visalia, CA 93292-5274
Other practice location 1
5242 N Five Mile Rd
Boise, ID 83713-1832
Phone (559) 799-4150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153 | Other | ID | ID OT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | starspt.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2153 | ID | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1821606419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932925274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CURTIS RD STE 204",
"city": "BOISE",
"state": "ID",
"postal_code": "837061340",
"telephone_number": "208-367-3315"
}
],
"practiceLocations": [
{
"address_1": "5242 N Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837131832",
"country_code": "US",
"telephone_number": "559-799-4150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "SAVANNAH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "16672",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "ID",
"license": "2153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID OT LICENSE",
"identifier": "2153",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "starspt.org",
"affiliation": "N",
"address_1": "901 N Curtis Rd Ste 204",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837061340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.