Individual provider Active NPI

Diana Marie Field, DPT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1710165972
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029611 Issued in NY
Practice address
310 Old Country Rd Ste 104
Garden City, NY 11530-1763
Phone
(914) 294-4050
NPI assigned
Feb 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 029611 NY Primary

Addresses

Primary practice location

310 Old Country Rd Ste 104
Garden City, NY 11530-1763

Mailing address

PO Box 416501
Boston, MA 02241-6501
Phone (914) 294-4050

Other practice location 1

111 Merrick Rd Ste 5
Amityville, NY 11701-3454
Phone (631) 691-6900

Other practice location 2

11 Broadway
Amityville, NY 11701
Phone (631) 691-6900

Other names 1

  • Dr. Diana Marie Justice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914001835 NY Practitioner - Physical Therapist in Private Practice 7315298213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

225 Merrick Rd
Lynbrook, NY 11563-2621
Phone (516) 559-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029611NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PKL Physical Therapy & Wellness, PC Physical Therapist CurrentSince Aug 15, 2018 Accepting new patients
Jeffrey Wheeler DO PC CurrentSince Aug 15, 2018 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jun 28, 2021 Accepting new patients

Locations

11 Broadway
Amityville, NY 11701
Phone (516) 605-1700

111 Merrick Rd
Ste 5
Amityville, NY 11701
Phone (631) 691-6900

310 Old Country Rd
Ste 104
Garden City, NY 11530
Phone (516) 741-7000

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

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": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1710165972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416501",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OLD COUNTRY RD STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301763",
            "telephone_number": "914-294-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Merrick Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117013454",
            "country_code": "US",
            "telephone_number": "631-691-6900",
            "fax_number": "631-691-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Broadway",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "11701",
            "country_code": "US",
            "telephone_number": "631-691-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELD",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JUSTICE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.