Active NPI
Diane K Haupt, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1255415899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003917
- Practice address
- 397 Little Neck Rd
Building 3300, Suite 100
Virginia Beach, VA 23452-5765 - Phone
- (757) 639-3153
- Fax
- (757) 318-9151
- NPI assigned
- Oct 24, 2006
- 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 | 2305003917 | VA | Primary |
Addresses
Primary practice location
397 Little Neck Rd
Building 3300, Suite 100
Virginia Beach, VA 23452-5765
Mailing address
2254A Maple St
Virginia Beach, VA 23451-1308
Phone (757) 639-3153
Other names 1
- Miss Diane K Mamunes
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003917 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1255415899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254A MAPLE ST",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511308",
"telephone_number": "757-639-3153",
"fax_number": "757-318-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 LITTLE NECK RD",
"address_2": "BUILDING 3300, SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525765",
"telephone_number": "757-639-3153",
"fax_number": "757-318-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "DIANE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "MAMUNES",
"middle_name": "K",
"prefix": "MISS",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.