Active NPI
Diana F Millspaugh, DPT
- Physical Therapist
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042668
- Practice address
- 15312 W Beloit Rd
New Berlin, WI 53151-7447 - Phone
- (262) 641-5771
- NPI assigned
- Jul 8, 2010
- 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 | WI | ||
| Physical Therapist | 225100000X | 042668 | NY | Primary |
Addresses
Primary practice location
15312 W Beloit Rd
New Berlin, WI 53151-7447
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
1450 Western Ave Ste 101
Albany, NY 12203-3539
Phone (518) 525-5588
Other practice location 2
1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4530
Other practice location 3
75 Vandenburgh Ave
Troy, NY 12180-6059
Phone (518) 270-3041
Other practice location 4
115 Saratoga Rd Ste 100
Glenville, NY 12302-4210
Phone (518) 386-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649582545 | Medicaid | WI |
Other names 1
- Diana F Mitsche
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyview Hospital and Rehabilitation Center | Physical Therapist | Current | Accepting new patients |
| Sunnyview Hospital and Rehabilitation Center | Physical Therapist | Past | Accepting new patients |
Locations
1450 Western Ave
Ste 101
Albany, NY 12203
Phone (518) 525-5588
115 Saratoga Rd
Ste 100
Glenville, NY 12302
Phone (518) 386-3579
1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500
75 Vandenburgh Ave
Troy, NY 12180
Phone (518) 270-3041
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
Physical Therapist
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1346771193
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1649582545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15312 W BELOIT RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517447",
"telephone_number": "262-641-5771"
}
],
"practiceLocations": [
{
"address_1": "1450 Western Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122033539",
"country_code": "US",
"telephone_number": "518-525-5588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123082104",
"country_code": "US",
"telephone_number": "518-382-4530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Vandenburgh Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121806059",
"country_code": "US",
"telephone_number": "518-270-3041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Saratoga Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Glenville",
"state": "NY",
"postal_code": "123024210",
"country_code": "US",
"telephone_number": "518-386-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLSPAUGH",
"first_name": "DIANA",
"middle_name": "F",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649582545",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1270 Belmont Ave",
"city": "Schenectady",
"state": "NY",
"country_code": "US",
"postal_code": "123082104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DIANA",
"last_name": "MITSCHE",
"middle_name": "F",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.