Active NPI
Michelle Kara Foosaner Diamond, PT
- Physical Therapist
- Palo Alto, CA
National Provider Identifier
1306171350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28903
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Oct 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 28903 | CA | |
| Physical Therapist | 225100000X | 28903 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
1199 Bush St Ste 350
San Francisco, CA 94109-5973
Phone (415) 561-6755
Other names 1
- Michelle K Foosaner
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 |
|---|---|---|---|
| 28903 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCT Associates Inc. | Past | Accepting new patients | |
| Polaris Neuroscience Institute LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- San Francisco, CA
- NPI 1295959500
-
- Specialist
- San Francisco, CA
- NPI 1003141185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1306171350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "1199 Bush St Ste 350",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095973",
"country_code": "US",
"telephone_number": "415-561-6755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAMOND",
"first_name": "MICHELLE",
"middle_name": "KARA FOOSANER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "CA",
"license": "28903",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FOOSANER",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.