Individual provider Active NPI

Diana Denise Geedey, PTA, C. PED

  • Physical Therapy Assistant
  • Turbotville, PA
National Provider Identifier
1225317720
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI001974 Issued in PA
Practice address
17 Washington St
Turbotville, PA 17772-8548
Phone
(570) 898-9192
Fax
(570) 649-6910
NPI assigned
Aug 15, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI001974 PA Primary
Pedorthist 224L00000X 1127 PA

Addresses

Primary practice location

17 Washington St
Turbotville, PA 17772-8548

Mailing address

17 Washington St
Turbotville, PA 17772-8548
Phone (570) 898-9192

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
1127PAMDPedorthist
TEI001974PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1225317720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WASHINGTON ST",
            "city": "TURBOTVILLE",
            "state": "PA",
            "postal_code": "177728548",
            "telephone_number": "570-898-9192",
            "fax_number": "570-649-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WASHINGTON ST",
            "city": "TURBOTVILLE",
            "state": "PA",
            "postal_code": "177728548",
            "telephone_number": "570-898-9192",
            "fax_number": "570-649-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEDEY",
        "first_name": "DIANA",
        "middle_name": "DENISE",
        "credential": "PTA, C. PED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI001974",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "PA",
            "license": "1127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turbotville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.