Ethan Diamond

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TOP009413 Issued in PA

Practice address

469 E Maple Ave
Langhorne, PA 19047-1600

Phone

(215) 750-4304

NPI assigned

Mar 29, 2024

Sex

Male

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": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1912758707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 E MAPLE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471600",
            "telephone_number": "215-750-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 E MAPLE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471600",
            "telephone_number": "215-750-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 E Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471600",
            "country_code": "US",
            "telephone_number": "215-750-4304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ETHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "TOP009413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Ann Dever
• Devidevansh1 LLC
• Kathleen Devine
• Stephanie Ann Devine, RD
• Dinesh Dhanaraj, M.D.
• Lisa Diasio, CRNP
• Desiree G Diaz
• Robert Diaz, MA, CADC, CRS, CFRS,
• Thomas Patrick Dienna, D.O.
• Nicole Digiovanni, MS, OTR/L

• Occupational Therapy Assistant in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.