Cheyenne Laura Diller, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP009375 Issued in PA

Practice address

1183 Luther Dr
Hagerstown, MD 21740-7407

Phone

(240) 420-4138

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1902389125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 CUMBERLAND AVE APT B",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013869",
            "telephone_number": "717-830-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 LUTHER DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407407",
            "telephone_number": "240-420-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "CHEYENNE",
        "middle_name": "LAURA",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista Christine Dickey, L. AC., DIPL. AC.
• Matthew S Dicks, DPT
• Lauren Dietrich, RDH
• Thomas L Diggs, DNP, AAS
• Digitrace Care Services, Inc.
• Salvatore Dimercurio, M.D.
• Anthony Disalvo, PT
• Arielle Dismel
• Raeya Disney
• Allen Wilson Ditto, MD

• Occupational Therapy Assistant in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.