Diane Lee Antley, MS
Individual provider Active NPI Physical Therapist · Hope, NJ
NPI 1083982532 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1083982532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA007269 (NJ)
- Practice address
- 145 State Park Road
Hope, NJ 07844 - Phone
- (908) 459-4128
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA007269 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA007269 | NJ | Yes |
Addresses
Primary practice location
145 State Park Road
Hope, NJ 07844
Mailing address
547 Watters Rd
Hackettstown, NJ 07840-5701
Phone (908) 887-1754
Other providers in Hope, NJ
- Nicholas Cristo
- Forest Manor Health Care Center, Inc.
- Hope Township Board of Education
- Maria Kopek
- Jennifer Patrice Ohagan
All providers in Hope, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. 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.