Individual provider Active NPI

Diana Elizabeth Rothauser, P.T.

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1598786626
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20068 Issued in FL
Practice address
13819 Wood Duck Cir
Bradenton, FL 34202-8298
Phone
(941) 758-2328
Fax
(941) 758-9967
NPI assigned
Jul 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT20068 FL Primary

Addresses

Primary practice location

13819 Wood Duck Cir
Bradenton, FL 34202-8298

Mailing address

13819 Wood Duck Cir
Bradenton, FL 34202-8298
Phone (941) 758-2328

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients
Bloomfield Total Health Center Physical Therapist PastSince Aug 22, 2012 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598786626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13819 WOOD DUCK CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342028298",
            "telephone_number": "941-758-2328",
            "fax_number": "941-758-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13819 WOOD DUCK CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342028298",
            "telephone_number": "941-758-2328",
            "fax_number": "941-758-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHAUSER",
        "first_name": "DIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.