Active NPI
Allison Diebolt, OTR/L
- Occupational Therapist
- Overland Park, KS
National Provider Identifier
1932824216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02804
- Practice address
- 12000 Lamar Ave
Overland Park, KS 66209-2705 - Phone
- (913) 663-2888
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-02804 | KS | Primary |
Addresses
Primary practice location
12000 Lamar Ave
Overland Park, KS 66209-2705
Mailing address
4643 Liberty St
Kansas City, MO 64112-1120
Phone (785) 806-5416
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02804 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1932824216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4643 LIBERTY ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121120",
"telephone_number": "785-806-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 LAMAR AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092705",
"telephone_number": "913-663-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEBOLT",
"first_name": "ALLISON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.