Active NPI
Diane Levine, PT
- Physical Therapist
- New Haven, CT
National Provider Identifier
1164601134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2739
- Practice address
- 46 Prince St
Suite 402B
New Haven, CT 06519-1600 - Phone
- (203) 752-7878
- Fax
- (203) 776-4989
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2739 | CT | Primary |
Addresses
Primary practice location
46 Prince St
Suite 402B
New Haven, CT 06519-1600
Mailing address
46 Prince St
Suite 402B
New Haven, CT 06519-1600
Phone (203) 752-7878
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 |
|---|---|---|---|
| 2739 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1164601134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 PRINCE ST",
"address_2": "SUITE 402B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191600",
"telephone_number": "203-752-7878",
"fax_number": "203-776-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 PRINCE ST",
"address_2": "SUITE 402B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191600",
"telephone_number": "203-752-7878",
"fax_number": "203-776-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "DIANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "2739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.