Individual provider Active NPI

Diane Cheryl Williston, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1366672263
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012052 Issued in CO
Practice address
5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567
Phone
(719) 574-3111
Fax
(719) 574-2912
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0012052 CO Primary

Addresses

Primary practice location

5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567

Mailing address

2237 US Highway 2 E
Suite B
Kalispell, MT 59901-2812
Phone (406) 756-7878

Other names 1

  • Diane Cheryl Greening Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000137 CO Practitioner - Physical Therapist in Private Practice 0345374708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
70.6
Promoting interoperability
99
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Orthopaedic Group Current Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Apr 26, 2021 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Apr 26, 2021 Accepting new patients
Advantage Physical Therapy Associates, LLC Physical Therapist PastSince Aug 18, 2008 Accepting new patients
Anderson & Bates Inc Physical Therapist PastSince Mar 13, 2010 Accepting new patients
Catholic Health Initiatives Colorado PastSince Apr 1, 2015 Accepting new patients
Edge Rehabilitation & Wellness LLC Physical Therapist PastSince Jul 1, 2024 Accepting new patients
Rea Rehabilitation Services Inc Past Accepting new patients

Locations

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1366672263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 US HIGHWAY 2 E",
            "address_2": "SUITE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012812",
            "telephone_number": "406-756-7878",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5988 STETSON HILLS BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233567",
            "telephone_number": "719-574-3111",
            "fax_number": "719-574-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISTON",
        "first_name": "DIANE",
        "middle_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GREENING",
            "middle_name": "CHERYL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.