Diane Michelle Munafo, LPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT-00504 Issued in OH

Practice address

101 Mills PL
New Lebanon, OH 45345-1430

Phone

(937) 687-1311

Fax

(937) 687-3991

NPI assigned

Nov 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1528652096
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734
  NPD

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1619211166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 S STIVERS RD",
            "address_2": "P.O. BOX 95",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453278560",
            "telephone_number": "513-646-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLS PL",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451430",
            "telephone_number": "937-687-1311",
            "fax_number": "937-687-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAFO",
        "first_name": "DIANE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT-00504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Goulden DDS Inc
• Justin Alexander Keirns
• Brandy Marie Lewis, LPN
• Mary Logsdon
• Pamela Michael
• Johnny W Myers
• New Lebanon Local School District
• New Lebanon Rehabilitation and Healthcare Center LLC
• New Lebanon SNF, LLC
• Kingsley Orock, PHARM.D

• Geriatric Physical Therapist in New Lebanon, OH
• Providers in New Lebanon, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; 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.