Diane Lyn Dallap-Phillips, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

19046 Issued in MD

Practice address

1420 Key Hwy Ste 300
Baltimore, MD 21230-5550

Phone

(410) 230-7830

Fax

(410) 230-7831

NPI assigned

Jan 8, 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

Other names 1

• Diane Lyn Dallap Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• National Rehabilitation Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1386021202

  Physical Therapist

  NPD
• National Rehabilitation Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Waldorf, MD
  • NPI 1912724246

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1194873968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "NRH REGIONAL REHAB - SUITE 600",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-581-8054",
            "fax_number": "301-564-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KEY HWY STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305550",
            "telephone_number": "410-230-7830",
            "fax_number": "410-230-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAP-PHILLIPS",
        "first_name": "DIANE",
        "middle_name": "LYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "19046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DALLAP",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dannel George Daley, PHARMD
• Kelly Nanzetta Daley, PT
• Kelsie Joy Daley, CF-SLP
• Victoria Daley, LMSW
• Dave Kristian David Dalida, MD
• Anissa Carolina Dallmann
• Johannes G. Dalmasy-Frouin, M.D.
• Jessica Cinda Dalrymple, PHD
• Tanya Dalrymple, RN
• William Brian Dalton, M.D.

• Sports Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Sports Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.