NPI age
7 years
Enumerated 2018-09-10
● Active
Type 1 · Individual
Diane Miller Supak
Supak is 1 of 2 occupational therapist providers in La Grange and 1 of 7986 in Texas.
Primary specialty
Occupational Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-09-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7986 active occupational therapist providers in Texas.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Practice location
457 N Main St
La Grange, TX 789451937
Mailing address
481 Fm 2503
Fayetteville, TX 789405101
Specialties
-
Occupational Therapist PrimaryAn 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...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.