Individual provider Active NPI

Diane Lynn Holland, PT,CWS, C.PED

  • Physical Therapist
  • West Nyack, NY
National Provider Identifier
1669752325
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0113961 Issued in NY
Practice address
32 Maple Ave
West Nyack, NY 10994-1832
Phone
(845) 642-0027
NPI assigned
Aug 25, 2011
Last updated
Jan 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120220000851 NY Practitioner - Physical Therapist in Private Practice 6608034830 Reassigns benefits to 2 organizations
I20180425000859 NJ Practitioner - Physical Therapist in Private Practice 6608034830 Reassigns benefits to 1 organization

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
Way Rehab ServicesGroup PAC ID 2567875776, 8 clinicians

Practice addresses (Care Compare)

Bergenfield, NJ 07621
Phone (201) 310-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QAO5442NJMDPhysical Therapist
0113961NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Way Rehab Services Physical Therapist CurrentSince Oct 26, 2022 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Apr 13, 2019 Accepting new patients
Genesis Medical Health PC Past Accepting new patients
Mobile Family Health Nurse Practitioner Care PLLC PastSince Aug 15, 2010 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.

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.

Verify at the official NPI Registry.