Active NPI
Diane Carol Specht, OTR
- Occupational Therapist
- Clifton, NJ
National Provider Identifier
1962916635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00173400
- Practice address
- 1373 Broad St Ste 302
Clifton, NJ 07013-4200 - Phone
- (973) 773-4263
- Fax
- (973) 773-4336
- NPI assigned
- Nov 16, 2017
- 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 | 46TR00173400 | NJ | Primary |
Addresses
Primary practice location
1373 Broad St Ste 302
Clifton, NJ 07013-4200
Mailing address
112 Overlook Rd
Cedar Grove, NJ 07009-2216
Phone (201) 259-1658
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1962916635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 OVERLOOK RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070092216",
"telephone_number": "201-259-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 BROAD ST STE 302",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070134200",
"telephone_number": "973-773-4263",
"fax_number": "973-773-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECHT",
"first_name": "DIANE",
"middle_name": "CAROL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00173400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.