Diane Gaidon, PT,MS,OCS,CFMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022801 Issued in NY

Practice address

23 Whitney Dr
Amityville, NY 11701-3324

Phone

(516) 445-8841

Fax

(631) 592-9894

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Diane Walls Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Core Physical Therapy & Rehabilitation, PC

  • Physical Therapist
  • Amityville, NY
  • NPI 1326457607
  Medicare reassignment NPD Authorized official
• North Island Physical Therapy, PC

  • Specialist
  • Stony Brook, NY
  • NPI 1326131392
  NPD (past)
• Robert Mosca Physical Therapy, PLLC

  • Specialist
  • Stony Brook, NY
  • NPI 1235545732

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1710105804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITNEY DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013324",
            "telephone_number": "516-445-8841",
            "fax_number": "631-592-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITNEY DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013324",
            "telephone_number": "516-445-8841",
            "fax_number": "631-592-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDON",
        "first_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "PT,MS,OCS,CFMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "WALLS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Froiseth, LCSW
• Miwa Fujiwara, M,D,
• Anthony Demetrius Fuller, L.P.N
• Sydney Furboter
• Michael Vincent Fusaro, PHARMD
• Brian Scott Galler, D.O.
• Bridget A Gallo
• Jillian Gallo
• Liliana Gamez Ruiz
• Uresh Gandhi, BDS

• Physical Therapist in Amityville, NY
• Providers in Amityville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.