Active NPI
Kathleen Ann Dieli, B.S. P.T.
- Physical Therapist
- Albertson, NY
National Provider Identifier
1215147657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0127241
- Practice address
- 201 I U Willets Rd
Albertson, NY 11507-1516 - Phone
- (516) 739-4900
- Fax
- (516) 739-4909
- NPI assigned
- May 23, 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 | 0127241 | NY | Primary |
Addresses
Primary practice location
201 I U Willets Rd
Albertson, NY 11507-1516
Mailing address
36 Parkwood Rd
West Islip, NY 11795-3803
Phone (631) 669-3559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274415 | Medicaid | NY |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0127241 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215147657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 PARKWOOD RD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953803",
"telephone_number": "631-669-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 I U WILLETS RD",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071516",
"telephone_number": "516-739-4900",
"fax_number": "516-739-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIELI",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "B.S. P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0127241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albertson, NY
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.