Diane Healeydale, PTA
Individual provider Active NPI Physical Therapy Assistant · Nottingham, PA
NPI 1376955203 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1376955203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1003186 (PA)
- Practice address
- 116 Sunset Dr
Nottingham, PA 19362-9018 - Phone
- (610) 217-5311
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE1003186 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1003186 | PA | Yes |
Addresses
Primary practice location
116 Sunset Dr
Nottingham, PA 19362-9018
Mailing address
116 Sunset Dr
Nottingham, PA 19362
Phone (610) 217-5311
Other providers in Nottingham, PA
- Hayley Conner
- Alexandra Diemer
- Everside Health-Herr Foods
- Family Forever Home Healthcare, LLC
- Ann Marie Greene
- Abigail Farrell Kamertz
- Don Krueger
- Pennsylvania CVS Pharmacy, L.L.C
- Pro-Active Muscle Therapy, LLC
- Heidi Ann Scott
All providers in Nottingham, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.