Diane Tavares, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00767300 Issued in NJ

Practice address

3 Greenhill Rd
Parsippany, NJ 07054-4703

Phone

(973) 386-9000

Fax

(973) 386-1812

NPI assigned

Jul 11, 2006

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

Other identifiers 6

Other names 1

• Ms. Diane Devescovi Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Move to Improve Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Long Valley, NJ
  • NPI 1639826019

  Physical Therapist

  Medicare reassignment NPD
• United Speech Services, Inc.

  • Multi-Specialty Clinic/Center
  • Sparta, NJ
  • NPI 1932248226
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699700450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREENHILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544703",
            "telephone_number": "973-386-9000",
            "fax_number": "973-386-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENHILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544703",
            "telephone_number": "973-386-9000",
            "fax_number": "973-386-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00767300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM PLAN",
            "identifier": "P3592053",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OPEN ACCESS",
            "identifier": "P3424157",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K6509",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7104649",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2308875",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3170904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DEVESCOVI",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Michael Takahashi, DO
• Matthew A Talley, M.S. CCC-SLP
• Matthew D. Tandurella
• Michael Taragin, M.D.
• Elizabeth Kate Taranto, PA-C
• Ilana Teplitsky, PA
• Shakira Terry
• The Arc/Morris Chapter, New Jersey Inc.
• The Arc/Morris County Chapter (NJ) Inc.
• The Arc/Morris County Chapter (NJ) Inc.

• Physical Therapist in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.