Diane Kleist Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0972 Issued in NH

Legal business name

DIANE KLEIST PHYSICAL THERAPY LLC

Practice address

152 Court St Ste 4
Portsmouth, NH 03801-4453

Phone

(603) 427-5370

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Diane Kleist, PT

Title

Owner, PT, President

Phone

(603) 427-5370

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1366885261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 COURT ST STE 4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014453",
            "telephone_number": "603-427-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 COURT ST STE 4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014453",
            "telephone_number": "603-427-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE KLEIST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "KLEIST",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER, PT, PRESIDENT",
        "authorized_official_telephone_number": "603-427-5370",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080313",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "205140100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2198450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0806164YONH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dewildt, LMFT
• Emily Dewsnap
• Bonnie Dextraze
• Amira Diamond-Bier, ND
• Stefanie Lynn Diamond, PAC
• Benjamin John Diaz
• Elaine M Dicecca
• Peter S Dicks, MD
• Stephanie Diecidue
• Alissa Dillon, MED

• Physical Therapist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.