Active NPI
Dianna Lynn Nobles, OTR
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1962610220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 12560
- Practice address
- 5901 Broken Sound Pkwy NW Ste 500
Boca Raton, FL 33487-2791 - Phone
- (800) 875-8999
- NPI assigned
- May 19, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201005407 | MI | |
| Occupational Therapist | 225X00000X | 9113 | MA | |
| Occupational Therapist | 225X00000X | 2481 | SC | |
| Occupational Therapist | 225X00000X | OT 12560 | FL | Primary |
Addresses
Primary practice location
5901 Broken Sound Pkwy NW Ste 500
Boca Raton, FL 33487-2791
Mailing address
14842 Craig CT
Warren, MI 48088-3314
Phone (586) 212-4599
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 |
|---|---|---|---|
| 9113 | MA | MD | Clinical Psychologist |
| OT 12560 | FL | MD | Occupational Therapist |
| 5201005407 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Staffing | Past | Accepting new patients | |
| Club Staffing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1568652972
-
- Long Term Care Hospital
- Fredericksburg, VA
- NPI 1952509788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962610220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14842 CRAIG CT",
"city": "WARREN",
"state": "MI",
"postal_code": "480883314",
"telephone_number": "586-212-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY NW STE 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872791",
"telephone_number": "800-875-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "DIANNA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005407",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9113",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2481",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.