Individual provider Active NPI

Diana L Brassell, DPT

  • Geriatric Physical Therapist
  • Hamden, CT
National Provider Identifier
1023972247
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
007505 Issued in CT
Practice address
1450 Whitney Ave
Hamden, CT 06517-2451
Phone
(203) 248-8880
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 007505 CT Primary

Addresses

Primary practice location

1450 Whitney Ave
Hamden, CT 06517-2451

Mailing address

290 Treadwell St Unit 1101
Hamden, CT 06517-2359
Phone (203) 248-8880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205002771 CT Practitioner - Physical Therapist in Private Practice 7810476389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

290 Treadwell St
Unit 1101
Hamden, CT 06517-2357

290 Treadwell St Unit
Suite 1101
Hamden, CT 06517-2359

5800 Granite Pkwy
Suite 325
Plano, TX 75024-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007505CTMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC CurrentSince Jan 5, 2026 Accepting new patients
Reliant Senior Living LLC Geriatrics CurrentSince Jan 5, 2026 Accepting new patients

Locations

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 2

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": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1023972247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 TREADWELL ST UNIT 1101",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172359",
            "telephone_number": "203-248-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172451",
            "telephone_number": "203-248-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSELL",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CT",
            "license": "007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.