Active NPI
Diane Oblon Schaffer, PT
- Physical Therapist
- Meriden, CT
National Provider Identifier
1710100201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004500
- Practice address
- 845 Paddock Ave
Meriden, CT 06450-7021 - Phone
- (203) 238-2645
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004500 | CT | Primary |
Addresses
Primary practice location
845 Paddock Ave
Meriden, CT 06450-7021
Mailing address
845 Paddock Ave
Meriden, CT 06450-7021
Phone (203) 238-2645
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 |
|---|---|---|---|
| 004500 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710100201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 PADDOCK AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064507021",
"telephone_number": "203-238-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 PADDOCK AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064507021",
"telephone_number": "203-238-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "DIANE",
"middle_name": "OBLON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
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.