NPIMap

Organization Active NPI

DFW Professional Diagnostics Affiliates

  • Occupational Therapist
  • Garland, TX
National Provider Identifier
1891138681
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109947 Issued in TX
Legal business name
DFW PROFESSIONAL DIAGNOSTICS AFFILIATES
Practice address
4430 Lavon Dr
Ste 374-113
Garland, TX 75040-3000
Phone
(214) 797-7677
Fax
(972) 303-9189
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Naomi Furnas, OTR
Title
Owner
Phone
(214) 797-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 109947 TX Primary

Addresses

Primary practice location

4430 Lavon Dr
Ste 374-113
Garland, TX 75040-3000

Mailing address

4430 Lavon Dr
Ste 374-113
Garland, TX 75040-3000
Phone (214) 797-7677

National Provider Directory

National Provider Directory
Tax ID family
DFW Pda2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4430 Lavon Dr
Ste 374113
Garland, TX 75040
Phone (214) 797-7677

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1891138681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 LAVON DR",
            "address_2": "STE 374-113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403000",
            "telephone_number": "214-797-7677",
            "fax_number": "972-303-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 LAVON DR",
            "address_2": "STE 374-113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403000",
            "telephone_number": "214-797-7677",
            "fax_number": "972-303-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW PROFESSIONAL DIAGNOSTICS AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "FURNAS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-797-7677",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.