Susan Diver, RPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT8068 Issued in MA

Practice address

215 Thatcher St
Brockton, MA 02302-3949

Phone

(508) 583-5834

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1063993640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W WATER ST",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023702452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 THATCHER ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023949",
            "telephone_number": "508-583-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVER",
        "first_name": "SUSAN",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "8068",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "PT8068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Dipreta-Badger, LMHC, LCPC
• Dana Disanto
• Didintle Diseko
• Rebecca Dispoto
• Walter Dittel, MD
• Rebecca Divers
• Divine Care Health and Wellness LLC
• Divine Ventures LLC (Divine Mercy Home Health Supplies)
• Cawin Dixon
• Deborah J Dixon

• Physical Medicine & Rehabilitation Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.