Emily Diebold, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43416 Issued in CA

Practice address

16430 Ventura Blvd
Suite 108
Encino, CA 91436-2115

Phone

(818) 788-2544

Fax

(818) 788-2610

NPI assigned

Nov 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Oaks Physical Therapy ApcGroup PAC ID 1557759206, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Magnolia Oaks Physical Therapy Apc

  dba JMP Physical Therapy

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1831866722
  Medicare reassignment Care Compare group NPD Authorized official
• Fusion Arts Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Encino, CA
  • NPI 1962700302
  Medicare reassignment NPD
• Robert N. Mettam, P.T., Physical Therapist, Inc.

  dba JMP Physical Therapy Group

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1063511715
  NPD

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1073987251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362115",
            "telephone_number": "818-788-2544",
            "fax_number": "818-788-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362115",
            "telephone_number": "818-788-2544",
            "fax_number": "818-788-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Annette Diaz, M.S., B.A.
• Summer Madison Diaz, MS, BCBA
• Aryan Dibagohar, DC
• Juliette Elyse Dicken, OTR/L
• Dickran V Altounian DO Ms Inc
• Alfredo Mateo Diego, PTA
• Stephen Leslie Dietrich, M.D.
• Annie Stella Dieu, PT, DPT
• Dignity Home Health Inc.
• Shelby Diller, O.T.

• Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.