Maureen Michelle Diegel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2049100 Issued in TX

Practice address

5633 S. Staples St.
Suite 500
Corpus Christi, TX 78411-4646

Phone

(361) 855-1352

Fax

(361) 855-1254

NPI assigned

May 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maureen Michelle Sheridan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Legacy Therapy Center Inc.

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1609162486
  NPD (past)
• Legacy Therapy Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Corpus Christi, TX
  • NPI 1275764870
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1023300316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 61140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661140",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S. STAPLES ST.",
            "address_2": "SUITE 500",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGEL",
        "first_name": "MAUREEN",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2049100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "SHERIDAN",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Elaine Dibble, RPH
• Dickson Hearing Center
• Christian M Dickson, DPM
• Efrain Oscar Dickson, M.D.
• George H Dickson
• Okiemute Diejomaoh
• Kenda J. Dietrich, LPC, LPA
• Thomas Russell Dietze, M.D.
• Jacqueline Difiore, LPC
• Jillayne Difrancesca, LPC

• Physical Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.