Individual provider Active NPI

Diane Louise Hatterman, PTA

  • Physical Therapy Assistant
  • Cedar Falls, IA
National Provider Identifier
1487868691
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
60227106 Issued in WA
Practice address
1909 Alden Ave
Cedar Falls, IA 50613-4810
Phone
(308) 991-5654
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1401716 KS
Physical Therapy Assistant 225200000X 367 NE
Physical Therapy Assistant 225200000X 2906 ID
Physical Therapy Assistant 225200000X 001176 IA
Physical Therapy Assistant 225200000X 60227106 WA Primary

Addresses

Primary practice location

1909 Alden Ave
Cedar Falls, IA 50613-4810

Mailing address

1909 Alden Ave
Cedar Falls, IA 50613-4810
Phone (308) 991-5654

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001176IAMDPhysical Therapy Assistant
2906IDMDPhysical Therapy Assistant
1401716KSMDPhysical Therapy Assistant
60227106WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1487868691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ALDEN AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134810",
            "telephone_number": "308-991-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ALDEN AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134810",
            "telephone_number": "308-991-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTERMAN",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1401716",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "367",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "2906",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "001176",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60227106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.