Diane Lynne Holsworth, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Clovis, CA
NPI 1033733654 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1033733654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CAPT10033 (CA)
- Practice address
- 2193 Alamos Ave
Clovis, CA 93611-4134 - Phone
- (559) 385-7145
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAPT10033 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamos Care | Past |
Accepting new patients |
Interoperability endpoints
- diane.holsworth.1@17371.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CAPT10033 | CA | Yes |
Addresses
Primary practice location
2193 Alamos Ave
Clovis, CA 93611-4134
Mailing address
5730 N 1St St # 105-528
Fresno, CA 93710-6200
Phone (559) 270-1515
Other practice location 1
6253 N Colonial Ave
Fresno, CA 93704-1437
Phone (559) 878-3267
Other providers in Clovis, CA
- Jason Robert Holl
- Garlyn Elizabeth Hollingshead
- Ciera Rose Holm
- Amie Elizabeth Holmes
- Jonathan William Holmes
- Gordon Dwight Honda
- Honest Citizens Network
- Hope & Healing Family Therapy Center Inc
- Lauren Moriah Horsley
- Eric S. Hoshiko
All providers in Clovis, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.