Active NPI
Dhiane Lumbres
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1003049669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11989
- Practice address
- 3230 Reynolda Rd
Winston Salem, NC 27106-3040 - Phone
- (336) 722-2223
- Fax
- (336) 722-2263
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P11989 | NC | Primary |
Addresses
Primary practice location
3230 Reynolda Rd
Winston Salem, NC 27106-3040
Mailing address
3230 Reynolda Rd
Winston-Salem, NC 27106-3040
Phone (336) 722-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P11989 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health and Rehab | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Winston Salem, NC
- NPI 1134412273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1003049669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 REYNOLDA RD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271063040",
"telephone_number": "336-722-2223",
"fax_number": "336-722-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 REYNOLDA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063040",
"telephone_number": "336-722-2223",
"fax_number": "336-722-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMBRES",
"first_name": "DHIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.