Active NPI
Diane Lynn Holland, PT,CWS, C.PED
- Physical Therapist
- West Nyack, NY
National Provider Identifier
1669752325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0113961
- Practice address
- 32 Maple Ave
West Nyack, NY 10994-1832 - Phone
- (845) 642-0027
- NPI assigned
- Aug 25, 2011
- Last updated
- Jan 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0113961 | NY | Primary |
| Physical Therapist | 225100000X | QAO5442 | NJ |
Addresses
Primary practice location
32 Maple Ave
West Nyack, NY 10994-1832
Mailing address
32 Maple Ave
West Nyack, NY 10994-1832
Phone (845) 642-0027
Other names 1
- Diane Lynn McIlhargy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bergenfield, NJ 07621
Phone (201) 310-9785
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QAO5442 | NJ | MD | Physical Therapist |
| 0113961 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Way Rehab Services | Physical Therapist | Current | Accepting new patients |
| Stern at Home Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients | |
| Mobile Family Health Nurse Practitioner Care PLLC | Past | Accepting new patients |
Locations
23 Robert Pitt Dr
Ste 110
Monsey, NY 10952
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
Organizations & group practices 5
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.
-
dba Stern At Home Therapy
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Physical Therapist
-
- Physical Therapist
- Monsey, NY
- NPI 1588814966
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
-
- Family Nurse Practitioner
- Sandy Hook, CT
- NPI 1942512694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672531200000",
"number": "1669752325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MAPLE AVE",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941832",
"telephone_number": "845-642-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MAPLE AVE",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941832",
"telephone_number": "845-642-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DIANE",
"middle_name": "LYNN",
"credential": "PT,CWS, C.PED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2023-01-01",
"certification_date": "2023-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0113961",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QAO5442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "MCILHARGY",
"middle_name": "LYNN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; 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.