Active NPI
Diana Andrade
- Physical Therapy Assistant
- Glendale, NY
National Provider Identifier
1508715046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 015084-01
- Practice address
- 8340 Woodhaven Blvd
Glendale, NY 11385-7824 - Phone
- (718) 850-4368
- NPI assigned
- Jan 27, 2026
- Last updated
- Jan 27, 2026
- Sex
- Unspecified or another gender identity
- 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 Therapy Assistant | 225200000X | 015084-01 | NY | Primary |
Addresses
Primary practice location
8340 Woodhaven Blvd
Glendale, NY 11385-7824
Mailing address
4318 Forley St
Elmhurst, NY 11373-2747
Phone (212) 600-4781
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015084-01 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1508715046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 FORLEY ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732747",
"telephone_number": "212-600-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 WOODHAVEN BLVD",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857824",
"telephone_number": "718-850-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "015084-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.