Individual provider Active NPI

Barbara Ann Dibala, RMT

  • Specialist
  • Sealy, TX
National Provider Identifier
1164595559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MTO43649 Issued in TX
Practice address
2308 Highway 36 S
Sealy, TX 77474-4223
Phone
(979) 885-7484
Fax
(979) 885-7485
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MTO43649 TX Primary

Addresses

Primary practice location

2308 Highway 36 S
Sealy, TX 77474-4223

Mailing address

PO Box 513
Wallis, TX 77485-0513
Phone (979) 478-7221

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MTO43649TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164595559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "WALLIS",
            "state": "TX",
            "postal_code": "774850513",
            "telephone_number": "979-478-7221",
            "fax_number": "979-885-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HIGHWAY 36 S",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774744223",
            "telephone_number": "979-885-7484",
            "fax_number": "979-885-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBALA",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "MTO43649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sealy, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.