Active NPI
Dianna Jeanne Donofrio, MPT
- Physical Therapist
- Apple Valley, CA
National Provider Identifier
1396759759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23516
- Practice address
- 18095 Highway 18
Suite C
Apple Valley, CA 92307 - Phone
- (760) 242-7702
- Fax
- (760) 242-7571
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23516 | CA | Primary |
Addresses
Primary practice location
18095 Highway 18
Suite C
Apple Valley, CA 92307
Mailing address
18095 Highway 18
Suite C
Apple Valley, CA 92307
Phone (760) 242-7702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0235160 | Medicaid | CA |
Other names 1
- Dianna Jeanne Huete
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18095 US Hwy 18
Suite C
Apple Valley, CA 92307-2189
Phone (760) 242-7702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23516 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avpt.Inc | Physical Therapist | Current | Accepting new patients |
Locations
18095 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (760) 242-7702
Organizations & group practices 1
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": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396759759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18095 HIGHWAY 18",
"address_2": "SUITE C",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-242-7702",
"fax_number": "760-242-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18095 HIGHWAY 18",
"address_2": "SUITE C",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-242-7702",
"fax_number": "760-242-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "DIANNA",
"middle_name": "JEANNE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0235160",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNA",
"last_name": "HUETE",
"middle_name": "JEANNE",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.