Individual provider Active NPI

Diane Young Thomas, PT

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1710462379
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20290 Issued in CA
Practice address
3468 Mt Diablo Blvd Ste B110
Lafayette, CA 94549-7105
Phone
(925) 408-0402
NPI assigned
Sep 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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 20290 CA Primary

Addresses

Primary practice location

3468 Mt Diablo Blvd Ste B110
Lafayette, CA 94549-7105

Mailing address

16 Woodford Dr
Moraga, CA 94556-2429
Phone (925) 408-0402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102000804 CA Practitioner - Physical Therapist in Private Practice 0446595946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Physical Therapy IncGroup PAC ID 2365420601, 14 clinicians

Practice addresses (Care Compare)

3468 Mt Diablo Blvd
Lafayette, CA 94549-7105
Phone (925) 284-6150

380 Civic Dr
Suite 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-3840

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
64.45
Improvement activities
40
Cost
81.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20290CAMDPhysical Therapist

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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1710462379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODFORD DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562429",
            "telephone_number": "925-408-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497105",
            "telephone_number": "925-408-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DIANE",
        "middle_name": "YOUNG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.