Individual provider Active NPI

Diane Marie Suneson, P.T.

  • Pediatric Physical Therapist
  • Taunton, MA
National Provider Identifier
1528201258
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3083 Issued in MA
Practice address
68 Allison Ave
Taunton, MA 02780-6958
Phone
(508) 880-0202
Fax
(508) 880-2425
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3083 MA Primary

Addresses

Primary practice location

68 Allison Ave
Taunton, MA 02780-6958

Mailing address

68 Allison Ave
Taunton, MA 02780-6958
Phone (508) 880-0202

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

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1528201258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ALLISON AVE",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806958",
            "telephone_number": "508-880-0202",
            "fax_number": "508-880-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ALLISON AVE",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806958",
            "telephone_number": "508-880-0202",
            "fax_number": "508-880-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNESON",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.