Active NPI
Diana Elizabeth Cole III, P.T.
- Specialist
- Covington, LA
National Provider Identifier
1699834556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 0700
- Practice address
- 340 Falconer Dr
Covington, LA 70433 - Phone
- (985) 893-2845
- Fax
- (985) 893-2654
- NPI assigned
- Dec 7, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT 0700 | LA | Primary |
Addresses
Primary practice location
340 Falconer Dr
Covington, LA 70433
Mailing address
340 Falconer St
Covington, LA 70433
Phone (985) 893-2845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0700 | Other | LA | PT LICENSE NUMBER |
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 |
|---|---|---|---|
| PT 0700 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Covington, LA
- NPI 1679691240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699834556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 FALCONER ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-893-2845",
"fax_number": "985-893-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 FALCONER DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-893-2845",
"fax_number": "985-893-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DIANA",
"middle_name": "ELIZABETH",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "PT 0700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "PT0700",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.