Dianisha Sheree Arrambidez, PTA
Individual provider Active NPI Physical Therapy Assistant · Buffalo, KY
NPI 1477074961 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477074961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A03606 (KY)
- Practice address
- 3297 Mount Tabor Rd
Buffalo, KY 42716-8447 - Phone
- (910) 728-7637
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03606 | KY | MD | Physical Therapy Assistant |
| A5968 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5968 | NC | |
| Physical Therapy Assistant | 225200000X | A03606 | KY | Yes |
Addresses
Primary practice location
3297 Mount Tabor Rd
Buffalo, KY 42716-8447
Mailing address
3297 Mount Tabor Rd
Buffalo, KY 42716-8447
Phone (910) 728-7637
Other providers in Buffalo, KY
All providers in Buffalo, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.