Active NPI
Diane Lee Anderson, RPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1306027222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000341E
- Practice address
- 305 Cherry St
Philadelphia, PA 19106-1803 - Phone
- (800) 974-6383
- NPI assigned
- Nov 19, 2007
- Last updated
- Nov 19, 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 | PT000341E | PA | Primary |
Addresses
Primary practice location
305 Cherry St
Philadelphia, PA 19106-1803
Mailing address
106 Hillcrest Dr S
Macungie, PA 18062-1608
Phone (610) 730-4196
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT000341E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1306027222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HILLCREST DR S",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180621608",
"telephone_number": "610-730-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CHERRY ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061803",
"telephone_number": "800-974-6383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DIANE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT000341E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.