Active NPI
Dian Caronna, PT
- Physical Therapist
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01398
- Practice address
- 120 Meadowcrest Street
Suite 110
Gretna, LA 70056 - Phone
- (504) 391-7663
- Fax
- (504) 391-7668
- NPI assigned
- Apr 30, 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 | 01398 | LA | Primary |
Addresses
Primary practice location
120 Meadowcrest Street
Suite 110
Gretna, LA 70056
Mailing address
1111 Medical Center Blvd
Suite N804
Marrero, LA 70072
Phone (504) 349-6845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01398 | Other | LA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4921 Airline Dr
Metairie, LA 70001-5664
Phone (504) 889-2663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01398 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center for Sports Medicine and Reconstructive Surgery | Current | Accepting new patients |
Locations
4921 Airline Dr
Metairie, LA 70001
Phone (504) 467-5900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopedic Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Metairie, LA
- NPI 1124171673
-
dba Jefferson Orthopedic Clinic
- Orthopaedic Surgery Physician
- Marrero, LA
- NPI 1336288752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245450485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE N804",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-6845",
"fax_number": "504-347-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEADOWCREST STREET",
"address_2": "SUITE 110",
"city": "GRETNA",
"state": "LA",
"postal_code": "70056",
"telephone_number": "504-391-7663",
"fax_number": "504-391-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARONNA",
"first_name": "DIAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "01398",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
- Emily Navarro Campbell
- Jose Alfredo Cano, MD
- Capital City Medical Group, LLC (Primary Care Plus)
- Ashley Constance Carey, LPC
- Mandy Rae Carmouche, NNP-BC
- Carr Drugs (Carr Drugs #2)
- Carr Drugs Compounding & Wellness (Carr Drugs)
- Carr Drugs Compounding and Wellness LLC
- Roberta Carruth, LCSW,BACS
- Cheryl Teresita Carter, LNFA
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.
- 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.