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

MS. Diane Marie Ceballos

Individual provider Pediatric Occupational Therapist · NPI 1609114859

MS. Diane Marie Ceballos is a Pediatric Occupational Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

611 Broadway Ste 908
New York, NY 10012-2608
Phone: (212) 473-0011
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence P86861 (NY)

Record details

NPI number1609114859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2013
Last updated in NPPESJanuary 23, 2013

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