DIANA WALLACE (NPI# 1669859849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669859849 |
| Entity Type | Individual |
| Full Name | DIANA WALLACE |
| Credential | OT |
| Practice Address |
1207 N 33rd St Renton WA 98056-1943 |
| Practice Telephone | 4252555465 |
| Mailing Telephone | 4252555465 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 00001911 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | OCCUPATIONAL THERAPIST LICENSE | OT 00001911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457433146 | Diana Kay Wallace | Counselor | 518 S Jeffers St Ste 7, North Platte, NE 69101-5370 | 2006-10-20 |
| 1497837645 | Diana Lynn Wallace | Dietitian, Registered | 8086 S Yale Ave, Ste. 184, Tulsa, OK 74136-9003 | 2006-10-19 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1336145432 | Diana Wallace | Social Worker | 1 Nunn Dr, University Center, Suite 440, Newport, KY 41099-0002 | 2005-06-23 |
| 1790027852 | Diana Tyson Wallace | Counselor | 3737 Lander Rd, Cleveland, OH 44124-5712 | 2013-03-26 |
| Street Address |
1207 N 33RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98056-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| 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 |
|---|---|---|---|---|
| 1801425160 | Christina Lulu Zhang | Occupational Therapist | 104 Burnett Ave S, Renton, WA 98057-2121 | 2020-04-07 |
| 1386208221 | Jing Cao | Occupational Therapist | 2508 Blaine Ave Ne, Renton, WA 98056-8309 | 2019-04-25 |
| 1306389416 | Michelle Renee Gangi | Occupational Therapist | 15025 Se 117th St, Renton, WA 98059-6017 | 2016-11-21 |
| 1437501632 | Rachel Lynn Hiatt Arnold | Occupational Therapist | 629 Cedar Ave S Apt A102, Renton, WA 98057-6076 | 2016-07-12 |
| 1669847810 | Jessica Griesse | Occupational Therapist | 310 Williams Ave N, Renton, WA 98057-5613 | 2015-12-13 |
| 1962880203 | Aileen Mendoza | Occupational Therapist | 17559 110th Ln Se, Renton, WA 98055-6480 | 2015-05-07 |
| 1043603962 | Annastassia Mina Woo Nelson | Occupational Therapist | 2640 Benson Rd S, Renton, WA 98055-5106 | 2015-03-17 |
| 1205250784 | Aegis Therapies - Washington Rehab LLC | Occupational Therapist | 1600 Eagle Ridge Dr S, Renton, WA 98055-3567 | 2014-02-05 |
| 1861651796 | Darla Brewer | Occupational Therapist | 14617 Se 173rd St, Renton, WA 98058-8760 | 2008-06-05 |
| 1588835714 | Shana Denise Speer | Occupational Therapist | 571 Elma Ave Ne, Renton, WA 98059-4844 | 2008-03-15 |
| Find all providers in RENTON | ||||
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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.