Active NPI
Diane Marie Dismukes, OTR
- Occupational Therapist
- Angleton, TX
National Provider Identifier
1982966776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102947
- Practice address
- 801 Enchanted Oaks Dr
Angleton, TX 77515-8843 - Phone
- (979) 236-0337
- NPI assigned
- Jun 8, 2012
- 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 | 102947 | TX | Primary |
Addresses
Primary practice location
801 Enchanted Oaks Dr
Angleton, TX 77515-8843
Mailing address
801 Enchanted Oaks Drive
Angleton, TX 77515
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": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1982966776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ENCHANTED OAKS DRIVE",
"city": "ANGLETON",
"state": "TX",
"postal_code": "77515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ENCHANTED OAKS DR",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775158843",
"telephone_number": "979-236-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISMUKES",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "102947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.