Diane Renee Sumter, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OPT-OT-LIC-1003 Issued in MT

Practice address

875 Bridger Dr Ste J
Bozeman, MT 59715-2303

Phone

(406) 585-9113

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Washington School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health in Motion Physical Therapy IncGroup PAC ID 4284533274, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health in Motion Physical Therapy Inc

  • Physical Therapist
  • Bozeman, MT
  • NPI 1710916614

  MT

  Medicare reassignment Care Compare group NPD
• Dandelion Counseling, LLC

  • Clinical Social Worker
  • Bozeman, MT
  • NPI 1336709476
  NPD
• Enso PLLC

  • Acupuncturist
  • Bozeman, MT
  • NPI 1669019568
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1992918205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MOUNTAIN ASH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187005",
            "telephone_number": "406-640-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BRIDGER DR STE J",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152303",
            "telephone_number": "406-585-9113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 Ellis St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158809",
            "country_code": "US",
            "telephone_number": "406-586-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMTER",
        "first_name": "DIANE",
        "middle_name": "RENEE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OPT-OT-LIC-1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Sullivan
• Elizabeth Mascolo Sullivan, M.A. CCCSLP
• Kaitlyn Sullivan, RPH
• Timothy Brian Sullivan, MD
• Summit Podiatry PLLC
• Keshtisha Sunde
• Peter Scott Sunden, RN
• Sundrop Wellness
• Sunset Journey Therapeutic Services PLLC
• Surgical Associates of Bozeman, PC

• All providers in Bozeman, MT
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.