Diane Beth Pennycuff, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31001630A Issued in IN

Practice address

637 S State Road 135
Suite C
Greenwood, IN 46142-1443

Phone

(317) 865-1110

Fax

(317) 865-0221

NPI assigned

May 15, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHN JMH Ventures LLCGroup PAC ID 3870728512, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• CHN JMH Ventures LLC

  • Physical Therapist
  • Greenwood, IN
  • NPI 1902242084

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• CHN JMH Ventures LLC

  • Radiology Clinic/Center
  • Greenwood, IN
  • NPI 1134564016
  NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1861669152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 S STATE ROAD 135",
            "address_2": "SUITE C",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421443",
            "telephone_number": "317-865-1110",
            "fax_number": "317-865-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYCUFF",
        "first_name": "DIANE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001630A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpennycuff@iuhealth.org",
            "affiliation": "N",
            "address_1": "355 W 16th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Products, LLC
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• Brittany Peet
• Grace L Pence, OTR/L
• Angelina Pennington, RBT
• Peony Health Services
• Desiree Perez
• Performance Rehab Strategies PRS Physical Therapy LLC
• Emily Perkins, MD
• Jessica Perkins, MSW

• Occupational Therapist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.