Diane Kottakis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038586-1 Issued in NY

Practice address

5999 Corinne LN
Clarence Center, NY 14032-9517

Phone

(732) 995-7784

NPI assigned

Jun 15, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Hahnemann University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as group

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Cost

81.28

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• University Orthopaedic Services, Inc

  • Orthopaedic Surgery Physician
  • Cheektowaga, NY
  • NPI 1578599866
  Medicare reassignment Care Compare group NPD
• Sana Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • East Aurora, NY
  • NPI 1124738067

  Physical Therapist

  Medicare reassignment NPD
• University Orthopaedic Services Inc.

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1528209962
  NPD

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1083064646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 CORINNE LN",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329517",
            "telephone_number": "732-995-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 CORINNE LN",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329517",
            "telephone_number": "732-995-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTAKIS",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038586-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "038586-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Jobes Gardiner, OTR/L
• Peter Gargano Jr., RPH
• Annette Noel Hasselbeck, CRNA
• Shannon Haugeto
• Regan Howlett
• Sarah Lindsey Lafalce, PHARMD
• Rebecca M Lafornara, CAGS
• Laura A Lewis, PHD, LCSW
• Richard McCarthy, PT
• Maria S McKendry, P.T.

• Physical Therapist in Clarence Center, NY
• Providers in Clarence Center, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.