Diane Marie Smith, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5206 Issued in CA

Practice address

2650 Stockton Rd
San Diego, CA 92106-6000

Phone

(619) 524-0093

Fax

(619) 524-6077

NPI assigned

Sep 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1417143835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18945 FM 2252 STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662797",
            "telephone_number": "210-651-0027",
            "fax_number": "210-651-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 STOCKTON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066000",
            "telephone_number": "619-524-0093",
            "fax_number": "619-524-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "5206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Smith, M.D.
• David Mitchell Smith III
• Deborah A Smith, RD
• Debra A. Smith, L.C.S.W.
• Delanie Smith
• Duke J Smith
• Edward Albert Smith
• Eldridge Charles Smith, PERIODONTIST DDS
• Eleanor Joan Smith, PHARM.D.
• Elizabeth Amelia Smith, PSYD

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.