Individual provider Active NPI

Diane Michele Girard-Simone, PT, M. OF ED.

  • Physical Therapist
  • Gardner, MA
National Provider Identifier
1467675934
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8393 Issued in MA
Practice address
32 Hospital Hill Rd
Gardner, MA 01440-2302
Phone
(978) 632-5477
NPI assigned
Apr 11, 2007
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8393 MA Primary

Addresses

Primary practice location

32 Hospital Hill Rd
Gardner, MA 01440-2302

Mailing address

118 High St
Winchendon, MA 01475-1728
Phone (978) 297-0609

Other names 1

  • Diane Michele Girard Former name

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

LicenseStateTypeSpecialty
8393MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1467675934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HIGH ST",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751728",
            "telephone_number": "978-297-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HOSPITAL HILL RD",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402302",
            "telephone_number": "978-632-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD-SIMONE",
        "first_name": "DIANE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "PT, M. OF ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GIRARD",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.