Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgiann Lynn Dieteman, OTRL

Individual provider Occupational Therapist · NPI 1487794483

Georgiann Lynn Dieteman, OTRL is an Occupational Therapist in Private Practice in Elma, New York. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2007

Practice location Address checks out

960 W Maple Ct
Elma, NY 14059
Phone: (716) 805-1555
Fax: (716) 805-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0134411 (NY)

Record details

NPI number1487794483
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESOctober 14, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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