DIANE GASSIRARO PC (NPI# 1104969211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104969211 |
| Entity Type | Organization |
| Organization Name | DIANE GASSIRARO PC |
| Practice Address |
1303 Gerber Woods Dr Edwardsville IL 62025 |
| Practice Telephone | 6186590959 |
| Practice Fax Number | 6186550995 |
| Mailing Telephone | 6186590959 |
| Mailing Fax Number | 6186550995 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE MARIE GASSIRARO (REGISTERED OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6186590959 |
| Authorized Official Credential | OTRL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 003239 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | SSN | $$$$$$$$$ | 01 |
| IL | 496740634001 | 05 |
| Street Address |
1303 GERBER WOODS DR |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174995047 | A Pediatric Occupational Therapy Inc. | Home Health | 1303 Gerber Woods Dr, Edwardsville, IL 62025-3102 | 2015-10-30 |
| 1790958577 | Diane Marie Gassiraro | Occupational Therapist | 1303 Gerber Woods Dr, Edwardsville, IL 62025-3102 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685639 | Lindsay Bertles | Occupational Therapist | 209 3rd Ave, Edwardsville, IL 62025-2560 | 2019-08-20 |
| 1245731272 | Jill Berner | Occupational Therapist | 206 Hale Ave, Edwardsville, IL 62025-2334 | 2018-02-25 |
| 1881003572 | Robert Geldert IIi | Occupational Therapist | 473 Buena Vista St, Edwardsville, IL 62025-2072 | 2014-08-06 |
| 1457664542 | Michelle Yvonne Cobler | Occupational Therapist | 1807 S 105th St, Edwardsville, KS 66111-3490 | 2010-07-19 |
| 1851625693 | Melody A Chess | Occupational Therapist | 750 Blake, Edwardsville, KS 66111-1339 | 2009-09-27 |
| 1750529996 | Tina Elizabeth Greenland | Occupational Therapist | 704 Slippery Rock Dr, Edwardsville, IL 62025-2695 | 2009-01-26 |
| 1225179278 | Renee Held | Occupational Therapist | 103 Club Centre Ct, Apt 2, Edwardsville, IL 62025-3501 | 2007-02-12 |
| 1417980129 | Susan C Milam | Occupational Therapist | 2 Sunset Hills Professional Ctr, Edwardsville, IL 62025-3760 | 2006-07-08 |
| 1659970150 | Natalie Ann Vandorn | Occupational Therapist | 6277 Center Grove Rd, Edwardsville, IL 62025-3309 | 2020-10-26 |
| 1053925842 | Paige Richards | Occupational Therapist | 7108 Marine Rd, Edwardsville, IL 62025-4282 | 2020-08-31 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.