Active NPI
Diana Duke Yantis, PTA
- Physical Therapy Assistant
- Dunlap, TN
National Provider Identifier
1699871830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 317
- Practice address
- 360 Dell TRL
Dunlap, TN 37327-5511 - Phone
- (423) 949-4651
- Fax
- (423) 242-7103
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 317 | TN | Primary |
Addresses
Primary practice location
360 Dell TRL
Dunlap, TN 37327-5511
Mailing address
2536 Big Cedar Rd
Soddy Daisy, TN 37379
Phone (423) 332-4158
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317 | TN | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1699871830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 BIG CEDAR RD",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "37379",
"telephone_number": "423-332-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 DELL TRL",
"city": "DUNLAP",
"state": "TN",
"postal_code": "373275511",
"telephone_number": "423-949-4651",
"fax_number": "423-242-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANTIS",
"first_name": "DIANA",
"middle_name": "DUKE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunlap, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.