Active NPI
Diana Marie Quinn, PT
- Physical Therapist
- Lake Worth, FL
National Provider Identifier
1104856590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33265
- Practice address
- 6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586 - Phone
- (561) 432-0111
- Fax
- (561) 432-1075
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-004948 | KY | |
| Physical Therapist | 225100000X | 33265 | FL | Primary |
Addresses
Primary practice location
6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586
Mailing address
5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111
Other practice location 1
3009 Parrish Ave
Pt Pleasant, WV 25550-1749
Phone (859) 806-6420
Other practice location 2
3009 Parrish Ave
Pt Pleasant, WV 25550-1749
Phone (859) 806-6420
Other names 1
- Ms. Diana Marie Downing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33265 | FL | MD | Physical Therapist |
| PT-004948 | KY | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1104856590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 CORPORATE WAY STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072040",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 S JOG RD STE A11",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676586",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
}
],
"practiceLocations": [
{
"address_1": "3009 Parrish Ave",
"address_purpose": "LOCATION",
"city": "Pt Pleasant",
"state": "WV",
"postal_code": "255501749",
"country_code": "US",
"telephone_number": "859-806-6420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3009 Parrish Ave",
"address_purpose": "LOCATION",
"city": "Pt Pleasant",
"state": "WV",
"postal_code": "255501749",
"country_code": "US",
"telephone_number": "859-806-6420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINN",
"first_name": "DIANA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT-004948",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "33265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "DOWNING",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.