Individual provider Active NPI

Diana Patricia McGrath, PT

  • Specialist
  • Holiday, FL
National Provider Identifier
1003910134
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT12669 Issued in FL
Practice address
2435 US Highway 19
Suite 100
Holiday, FL 34691-3903
Phone
(727) 939-2230
Fax
(727) 939-2245
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT12669 FL Primary

Addresses

Primary practice location

2435 US Highway 19
Suite 100
Holiday, FL 34691-3903

Mailing address

951 Broken Sound Pkwy NW
Suite 225
Boca Raton, FL 33487-3507
Phone (561) 241-9300

Other identifiers 1

IdentifierTypeStateIssuer
PT12669OtherFLFLORIDA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000458 FL Practitioner - Physical Therapist in Private Practice 4688770811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph Spine PAGroup PAC ID 2860773017, 10 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 590
Tampa, FL 33607-6000
Phone (813) 534-6269

2727 W Dr MLK Jr Blvd
Suite 590
Tampa, FL 33607-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Spine, PA CurrentSince Dec 18, 2016 Accepting new patients

Locations

1840 Mease Dr
Ste 309
Safety Harbor, FL 34695
Phone (727) 216-1141

710 94th Ave N
Ste 309
St Petersburg, FL 33702
Phone (727) 213-3330

2727 W Mlk Blvd
Ste 590
Tampa, FL 33607
Phone (813) 534-6269

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1003910134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY NW",
            "address_2": "SUITE 225",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873507",
            "telephone_number": "561-241-9300",
            "fax_number": "561-372-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19",
            "address_2": "SUITE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913903",
            "telephone_number": "727-939-2230",
            "fax_number": "727-939-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "DIANA",
        "middle_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT12669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PT12669",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.