Diane Louise Robertson, PT, MTC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

16845 Issued in MD

Practice address

6801 Douglas Legum Dr
Suite B
Elkridge, MD 21075-6273

Phone

(410) 799-0818

NPI assigned

Feb 15, 2007

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

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy LLCGroup PAC ID 7618984162, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1588962237
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Physical Therapy

  • Physical Therapist
  • Elkridge, MD
  • NPI 1215150933
  NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164565354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 MOON GLASS CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455630",
            "telephone_number": "410-992-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DOUGLAS LEGUM DR",
            "address_2": "SUITE B",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756273",
            "telephone_number": "410-799-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "PT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Theodore Richardson, DMD MD
• Mary R Rifino, MD
• Lourdes M Rivera, APRN
• Sami A Rizvi, MD
• Ashleigh Roberts, LCSW-C
• Erika Danielle Robinson, LMSW, LGSW, MSW
• Kasha Rockiel Robinson, FNP-BC
• Nicole Marie Rod, MS,OTR/L
• Asha Rogers
• Rootcause Massage & Wellness LLC

• Physical Medicine & Rehabilitation Physician in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.