Active NPI
Diane E Film, P.T.
- Physical Therapist
- Latham, NY
National Provider Identifier
1457587743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009415-1
- Practice address
- 8 Century Hill Dr Ste 201
Latham, NY 12110 - Phone
- (518) 690-4406
- Fax
- (518) 220-9220
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 009415-1 | NY | Primary |
Addresses
Primary practice location
8 Century Hill Dr Ste 201
Latham, NY 12110
Mailing address
8 Century Hill Dr Ste 201
Latham, NY 12110-2193
Phone (518) 690-4406
Other practice location 1
8 Century Hill Dr Ste 201
Latham, NY 12110
Phone (518) 690-4406
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 |
|---|---|---|---|
| 009415-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1457587743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DR STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102193",
"telephone_number": "518-690-4406",
"fax_number": "518-220-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DR STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-690-4406",
"fax_number": "518-220-9220"
}
],
"practiceLocations": [
{
"address_1": "8 Century Hill Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Latham",
"state": "NY",
"postal_code": "12110",
"country_code": "US",
"telephone_number": "518-690-4406",
"fax_number": "518-220-9220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILM",
"first_name": "DIANE",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009415-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.