Diane Shiao, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00943300 Issued in NJ

Practice address

1941 Oak Tree Rd
#302
Edison, NJ 08820-2059

Phone

(201) 486-5511

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Revive Physical Therapy and Wellness Center

  • Physical Therapist
  • Edison, NJ
  • NPI 1609011493
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1215147038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WINTERGREEN AVE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 OAK TREE RD",
            "address_2": "#302",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202059",
            "telephone_number": "201-486-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAO",
        "first_name": "DIANE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00943300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Waltuch DMD, Ms
• Sheldon Waltuch Orthodontics LLC (Sheldon Waltuch, DMD, MS)
• Lijing Shen, M.D.
• Shirley Shen, MD
• Shengping Zou, MD, LLC
• Danielle Shields
• Shine Together ABA LLC
• Shiv Physical Therapy, LLC
• Shopanior LLC
• Shore Hearing Aid Center Inc

• Orthopedic Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.