Active NPI
Diane Dimauro, PT
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Shelton, CT
National Provider Identifier
1396375465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 4433
- Practice address
- 30 Controls Dr Ste 104
Shelton, CT 06484-6157 - Phone
- (203) 513-8424
- Fax
- (203) 712-7320
- NPI assigned
- Jan 17, 2020
- 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 |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 4433 | CT | Primary |
Addresses
Primary practice location
30 Controls Dr Ste 104
Shelton, CT 06484-6157
Mailing address
30 Controls Dr Ste 104
Shelton, CT 06484-6157
Phone (203) 513-8424
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 |
|---|---|---|---|
| 4433 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1396375465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CONTROLS DR STE 104",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846157",
"telephone_number": "203-513-8424",
"fax_number": "203-712-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CONTROLS DR STE 104",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846157",
"telephone_number": "203-513-8424",
"fax_number": "203-712-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMAURO",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "CT",
"license": "4433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.