Marcie Diamond, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2121839 Issued in TX

Practice address

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105

Phone

(817) 326-1375

Fax

(817) 326-2068

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Physical Therapy, Inc

  dba Freedom Physical Therapy

  • Physical Therapy Assistant
  • Granbury, TX
  • NPI 1699716076
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1144779562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493105",
            "telephone_number": "817-326-1375",
            "fax_number": "817-326-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493105",
            "telephone_number": "817-326-1375",
            "fax_number": "817-326-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MARCIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2121839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Depot Bay,Inc (Nucardio-Heart-Center)
• Haskell Ray Derryberry, FNP
• Avi Deshmukh, M.D.
• Beth Deskin
• Elizabeth Dever
• DME Solutions LP
• Joshua Dodge
• Timothy Walter Dolan, D.C.
• Brittney Christine Dollahite, PT, DPT
• Joan E Dollar

• Physical Therapy Assistant in Granbury, TX
• Providers in Granbury, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.