Active NPI
Diana Lynn Dymond-Burna, BS
- Physical Therapist
- North Creek, NY
National Provider Identifier
1245493121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009094-1
- Practice address
- 112 Ski Bowl Road
North Creek, NY 12853 - Phone
- (518) 251-2447
- Fax
- (518) 251-4207
- NPI assigned
- Jul 9, 2008
- Last updated
- Jul 9, 2008
- 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 | 009094-1 | NY | Primary |
Addresses
Primary practice location
112 Ski Bowl Road
North Creek, NY 12853
Mailing address
PO Box 500
North Creek, NY 12853
Phone (518) 251-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00-308-943 | 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 |
|---|---|---|---|
| 009094-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1245493121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "NORTH CREEK",
"state": "NY",
"postal_code": "12853",
"telephone_number": "518-251-2447",
"fax_number": "518-251-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SKI BOWL ROAD",
"city": "NORTH CREEK",
"state": "NY",
"postal_code": "12853",
"telephone_number": "518-251-2447",
"fax_number": "518-251-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYMOND-BURNA",
"first_name": "DIANA",
"middle_name": "LYNN",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009094-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00-308-943",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Creek, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.