Diane Macha, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23816 Issued in FL

Practice address

155 Cranes Roost Blvd Ste 2090
Altamonte Springs, FL 32701-4013

Phone

(407) 494-0644

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1689027476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD STE 2090",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD STE 2090",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014013",
            "telephone_number": "407-494-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHA",
        "first_name": "DIANE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Cooper Lynch, RMHCI
• Shirleyjo King Lynch, CRNA
• M Chiropractic and Wellness L L C
• M.K. Murphy DC LC (Health & Wellness Clinic)
• Alexis Macgregor Bugge
• Olivia Madewell, LMHC
• Nasirdin Madhany, MD
• Magdalena Beltre MD PA
• Nicole Ann Maggio, PSY.D.
• Nicole Lisett Magrann, PA-C

• Physical Therapy Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.