Diana J Raley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004849 Issued in GA

Practice address

1600 Forsyth St
Macon, GA 31201-1408

Phone

(478) 743-3000

Fax

(478) 741-9657

NPI assigned

Mar 24, 2010

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 names 1

• Diana Jordan Former name

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.

• Forsyth Street Orthopaedic Surgery and Rehabilitation Center

  • Orthopaedic Surgery Physician
  • Macon, GA
  • NPI 1215947858
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1104140839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011408",
            "telephone_number": "478-743-3000",
            "fax_number": "478-741-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011408",
            "telephone_number": "478-743-3000",
            "fax_number": "478-741-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "DIANA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JORDAN",
            "credential": "P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohammad Mohabubur Rahman, MD
• Taylor Rain
• Aliyah Raines, M.ED., CCC-SLP
• Tonja L Raines
• Sarah Elizabeth Rainey, CPNP
• Anusha Ramadhas
• Nalini Ramaiya, MD
• Aarthi Ramakrishnan, DMD
• Gurijala Ramesh Ramayya, MD
• Sandhya Ramayya, MD

• All providers in Macon, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.