Individual provider Active NPI

Diana Pliner

  • Physical Therapist
  • Pikesville, MD
National Provider Identifier
1497763601
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4000 Old Court Rd
Ste 100
Pikesville, MD 21208-2891
Phone
(410) 580-1320
Fax
(410) 580-1505
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 Primary

Addresses

Primary practice location

4000 Old Court Rd
Ste 100
Pikesville, MD 21208-2891

Mailing address

4001A Seven Mile Lane
Baltimore, MD 21215
Phone (410) 580-1320

Other identifiers 2

IdentifierTypeStateIssuer
434213500MedicaidMD
75845904OtherMDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000558 MD Practitioner - Physical Therapist in Private Practice 0547337446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Physical Therapy and Wellness LLCGroup PAC ID 4789860131, 24 clinicians

Practice addresses (Care Compare)

3536 A Urbana Pike
Frederick, MD 21704-7742
Phone (301) 874-9200

7801 York Rd
Suite 236
Towson, MD 21204-7448
Phone (410) 583-0333

Merit-based Incentive Payment System (MIPS)

Final score
28.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jan 25, 2022 Accepting new patients
Ravenwood Rehabilitation Center LLC Physical Therapist PastSince Aug 1, 2008 Accepting new patients

Locations

4000 Old Court Rd
Ste 100
Pikesville, MD 21208
Phone (410) 415-0005

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1497763601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001A SEVEN MILE LANE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-580-1320",
            "fax_number": "410-580-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "STE 100",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082891",
            "telephone_number": "410-580-1320",
            "fax_number": "410-580-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLINER",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434213500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75845904",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.