Individual provider Active NPI

Dianna Pugliese, PT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1700930104
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7989-1 Issued in NY
Practice address
531 Virginia St
Buffalo, NY 14202-1405
Phone
(716) 332-4838
Fax
(888) 732-3062
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7989-1 NY Primary

Addresses

Primary practice location

531 Virginia St
Buffalo, NY 14202-1405

Mailing address

4 Centre Dr Ste G
Orchard Park, NY 14127-4117
Phone (716) 662-2922

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

LicenseStateTypeSpecialty
7989-1NYMDPhysical Therapist
007989NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
T&M Physical Therapy PLLC Dba Lake Erie Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

531 Virginia St
Ste 1
Buffalo, NY 14202
Phone (716) 332-3848

531 Virginia St
Buffalo, NY 14202
Phone (716) 332-4838

Interoperability endpoints

  • Direct secure messaging: dpugliese@familypractice.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1700930104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CENTRE DR STE G",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274117",
            "telephone_number": "716-662-2922",
            "fax_number": "716-662-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VIRGINIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021405",
            "telephone_number": "716-332-4838",
            "fax_number": "888-732-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "DIANNA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "7989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.