Rebecca Lynn Diamantopoulos, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9501 Issued in MA

Practice address

200 Unicorn Park Dr
Woburn, MA 01801-3324

Phone

(781) 782-1300

NPI assigned

Jun 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Lynn Nadolny Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1265277396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013324",
            "telephone_number": "781-782-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTOPOULOS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "NADOLNY",
            "middle_name": "LYNN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dexterity Hand Surgery, LLC
• Dexterity Surgical LLC
• Dexterity Surgical, LLC
• DHS@Dexterity Surgical, LLC
• Dialysis at Home, Inc.
• Alice Margaret Dicenzo, RN
• Amber Raelynn Dichiara
• Andrea Dicicco, PNP
• Catherine Jane Dickenson
• Samuel G Diedrich

• Physical Therapy Assistant in Woburn, MA
• Providers in Woburn, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.