Active NPI
Dianne Ellen Epplein, PT
- Orthotic Fitter
- Virginia Beach, VA
National Provider Identifier
1508847591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 818 Newtown Rd
Virginia Beach, VA 23462-1116 - Phone
- (757) 473-8016
- Fax
- (757) 473-3580
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305 000587 | VA | |
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
818 Newtown Rd
Virginia Beach, VA 23462-1116
Mailing address
818 Newtown Rd
Virginia Beach, VA 23462-1116
Phone (757) 473-8016
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64 00313 | Other | UNITED HEALTH CARE | |
| 35062 | Other | OPTIMA | |
| 5369690 | Other | AETNA | |
| 5275769 | Other | AETNA GROUP | |
| 436752 | Other | ANTHEM BLUE CROSS | |
| 007328 | Other | ANTHEM BLUE CROSS GROUP | |
| 4980093 | Other | VIRGINIA PREMIER HEALTH P | |
| 4980093 | Medicaid | VA | |
| 11230312 | Other | CAQH | |
| 350034 | Other | OPTIMA GROUP | |
| 9116460 | Other | VA | MEDICAID |
Other names 1
- Ms. Dianne Ellen Davidson
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 |
|---|---|---|---|
| 2305 000587 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508847591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-473-8016",
"fax_number": "757-473-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPLEIN",
"first_name": "DIANNE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305 000587",
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "64 00313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "35062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5369690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP",
"identifier": "5275769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "436752",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS GROUP",
"identifier": "007328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH P",
"identifier": "4980093",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4980093",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11230312",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA GROUP",
"identifier": "350034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "9116460",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNE",
"last_name": "DAVIDSON",
"middle_name": "ELLEN",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.