Individual provider Active NPI

Diane April Bowlus, OT/L

  • Pediatric Occupational Therapist
  • Camp Verde, AZ
National Provider Identifier
1922008515
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1785 Issued in AZ
Practice address
513 Azure Dr
Camp Verde, AZ 86322-7276
Phone
(928) 567-7330
Fax
(928) 567-4146
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1785 AZ
Human Factors Occupational Therapist 225XH1300X 1785 AZ
Pediatric Occupational Therapist 225XP0200X 1785 AZ Primary

Addresses

Primary practice location

513 Azure Dr
Camp Verde, AZ 86322-7276

Mailing address

PO Box 640
Camp Verde, AZ 86322-0640
Phone (928) 567-7330

Other identifiers 1

IdentifierTypeStateIssuer
556003OtherAZAHCCCS

Other names 1

  • Central Arizona Therapy LLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1787AZMDPhysical Therapist
1785AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrill Enterprises, Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922008515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863220640",
            "telephone_number": "928-567-7330",
            "fax_number": "928-567-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 AZURE DR",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227276",
            "telephone_number": "928-567-7330",
            "fax_number": "928-567-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLUS",
        "first_name": "DIANE",
        "middle_name": "APRIL",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "1785",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "AZ",
            "license": "1785",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "556003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CENTRAL",
            "last_name": "THERAPY LLC",
            "middle_name": "ARIZONA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.