Diana Lyn Stroffolino, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015001 Issued in PA

Practice address

2010 West Chester Pike
Suite 450
Havertown, PA 19083-2744

Phone

(610) 853-0508

Fax

(610) 853-3837

NPI assigned

Apr 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diana Lyn Jones Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Physical Therapy and Wellness, LLCGroup PAC ID 1951439694, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• One Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1679804413
  Medicare reassignment Care Compare group NPD
• Penn Therapy Associates, Inc.

  • Physical Therapist
  • Havertown, PA
  • NPI 1104880590
  Medicare reassignment NPD
• Therapy Choice, LLC

  • Physical Therapist
  • Newtown, PA
  • NPI 1609887579
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1679927289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 450",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832744",
            "telephone_number": "610-853-0508",
            "fax_number": "610-853-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 450",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832744",
            "telephone_number": "610-853-0508",
            "fax_number": "610-853-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROFFOLINO",
        "first_name": "DIANA",
        "middle_name": "LYN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT015001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JONES",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Grant Nelson Strine, PSY.D.
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• Kenisha Sullivan, LPC
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• Physical Therapist in Havertown, PA
• Providers in Havertown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.