Active NPI
Diane O'Sullivan, PT, DPT
- Geriatric Physical Therapist
- West Springfield, MA
National Provider Identifier
1699214320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 8730
- Practice address
- 2112 Riverdale St Ste 1
West Springfield, MA 01089-1099 - Phone
- (413) 748-7223
- NPI assigned
- Feb 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 8730 | MA | Primary |
Addresses
Primary practice location
2112 Riverdale St Ste 1
West Springfield, MA 01089-1099
Mailing address
12 Fairfield Ave
Haydenville, MA 01039-9701
Phone (413) 923-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8730 | MA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1699214320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 FAIRFIELD AVE",
"city": "HAYDENVILLE",
"state": "MA",
"postal_code": "010399701",
"telephone_number": "413-923-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 RIVERDALE ST STE 1",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891099",
"telephone_number": "413-748-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "8730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.