Active NPI
Dia Rife, P.T.
- Physical Therapist
- Vansant, VA
National Provider Identifier
1629068861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305-003200
- Practice address
- 1060 Anchorage Circle
Vansant, VA 24656 - Phone
- (276) 935-6496
- Fax
- (276) 935-5852
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- 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 Therapist | 225100000X | 2305-003200 | VA | Primary |
Addresses
Primary practice location
1060 Anchorage Circle
Vansant, VA 24656
Mailing address
PO Box 1078
Grundy, VA 24614-1078
Phone (276) 935-6496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265995 | Other | VA | ANTHEM |
| 0049-78471 | Medicaid | VA |
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 |
|---|---|---|---|
| 2305-003200 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1629068861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1078",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246141078",
"telephone_number": "276-935-6496",
"fax_number": "276-935-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 ANCHORAGE CIRCLE",
"city": "VANSANT",
"state": "VA",
"postal_code": "24656",
"telephone_number": "276-935-6496",
"fax_number": "276-935-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFE",
"first_name": "DIA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305-003200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "265995",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049-78471",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vansant, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.