Diana Derrer, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31008101A Issued in IN

Practice address

7833 W Jefferson Blvd
Fort Wayne, IN 46804-4189

Phone

(260) 432-4848

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By 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

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anew Therapy and Wellness LLCGroup PAC ID 8123415312, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anew Therapy & Wellness LLC

  dba CORE Therapy and Wellness LLC

  • Rehabilitation Clinic/Center
  • Terre Haute, IN
  • NPI 1225792534

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Anew Therapy & Wellness LLC

  dba Core Therapy and Wellness

  • Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1346002839

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1861267031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 HOPE FARM RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156540",
            "telephone_number": "317-903-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044189",
            "telephone_number": "260-432-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRER",
        "first_name": "DIANA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008101A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dera, Inc (Foot Solutions-Ft Wayne)
• Karen Derickson
• Keith J. Derickson, MD
• Dermatology and Laser Surgery Associates of Fort Wayne P.C.
• Dennis M Derosa, MD
• Deanna Derry, LCSW
• Vishrut Desai, PHARMD
• Julia Desanto, RN
• Luretta S Deschner, MD
• William P. Deschner, MD

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.