Individual provider Active NPI

Erica Nicole Diandreth-Smith, DPT

  • Physical Therapist
  • Greensburg, PA
National Provider Identifier
1114409380
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024864 Issued in PA
Practice address
4536 State Route 136 Ste 12
Greensburg, PA 15601-7918
Phone
(724) 830-8815
Fax
(724) 830-8813
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024864 PA Primary

Addresses

Primary practice location

4536 State Route 136 Ste 12
Greensburg, PA 15601-7918

Mailing address

4536 State Route 136 Ste 12
Greensburg, PA 15601-7918
Phone (724) 830-8815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114000560 PA Practitioner - Physical Therapist in Private Practice 2668726431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4536 State Route 136
Suite 12
Greensburg, PA 15601-7918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Romtherapy Connecticut Medical PC CurrentSince Jan 27, 2026 Accepting new patients
Jamie P. Diandreth Physical Therapy PastSince Sep 24, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1114409380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 STATE ROUTE 136 STE 12",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017918",
            "telephone_number": "724-830-8815",
            "fax_number": "724-830-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 STATE ROUTE 136 STE 12",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017918",
            "telephone_number": "724-830-8815",
            "fax_number": "724-830-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANDRETH-SMITH",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.