Individual provider Active NPI

Diana Mayants, DPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1063756237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
036359-1 Issued in NY
Practice address
9 E 68TH St Ste B
New York, NY 10065-4915
Phone
(646) 389-6010
Fax
(646) 357-3577
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 036359-1 NY Primary

Addresses

Primary practice location

9 E 68TH St Ste B
New York, NY 10065-4915

Mailing address

9 E 68TH St Ste B
New York, NY 10065-4915
Phone (646) 389-6010

Other practice location 1

11 Eagle Rock Ave
suite 101
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121206000475 NJ Practitioner - Physical Therapist in Private Practice 5092967646 Reassigns benefits to 1 organization
I20141017000217 NY Practitioner - Physical Therapist in Private Practice 5092967646

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopro Physical Therapy NJ LLCGroup PAC ID 6901341932, 2 clinicians

Practice addresses (Care Compare)

66 W Mount Pleasant Ave
Suite 205
Livingston, NJ 07039-2930
Phone (973) 699-0599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036359-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopro Physical Therapy NJ LLC CurrentSince Apr 14, 2024 Accepting new patients
Orthopro Physical Therapy LLC Orthopedic CurrentSince Apr 1, 2017 Accepting new patients
Sportscare Institute, Inc. Past Accepting new patients

Locations

66 W Mount Pleasant Ave
Ste 205
Livingston, NJ 07039
Phone (917) 837-0598

57 W 57th St
Ste 604
New York, NY 10019
Phone (212) 580-1199

Organizations & group practices 3

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063756237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 68TH ST STE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654915",
            "telephone_number": "646-389-6010",
            "fax_number": "646-357-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 68TH ST STE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654915",
            "telephone_number": "646-389-6010",
            "fax_number": "646-357-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Eagle Rock Ave",
            "address_2": "suite 101",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "079363167",
            "country_code": "US",
            "telephone_number": "973-887-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYANTS",
        "first_name": "DIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "036359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.