Active NPI
Diane Constance McCluskey, OTR/L
- Neurorehabilitation Occupational Therapist
- Kennesaw, GA
National Provider Identifier
1962469924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- OT002845
- Practice address
- 3471 Deerfield LN NW
Kennesaw, GA 30144-1888 - Phone
- (770) 792-5986
- Fax
- (678) 290-0173
- NPI assigned
- Apr 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT002845 | GA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT002845 | GA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT002845 | GA |
Addresses
Primary practice location
3471 Deerfield LN NW
Kennesaw, GA 30144-1888
Mailing address
3471 Deerfield LN NW
Kennesaw, GA 30144-1888
Phone (770) 792-5986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00907552A | Medicaid | GA |
Other names 1
- Miss Diane Constance Lee
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 |
|---|---|---|---|
| OT002845 | GA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962469924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 DEERFIELD LN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441888",
"telephone_number": "770-792-5986",
"fax_number": "678-290-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 DEERFIELD LN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441888",
"telephone_number": "770-792-5986",
"fax_number": "678-290-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUSKEY",
"first_name": "DIANE",
"middle_name": "CONSTANCE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT002845",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "GA",
"license": "OT002845",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT002845",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00907552A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "LEE",
"middle_name": "CONSTANCE",
"prefix": "MISS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kennesaw, GA
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.