Active NPI
Diana Howell Obrien, PT MPT
- Physical Therapist
- Jackson, WY
National Provider Identifier
1720161243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 845
- Practice address
- 1116 Maple Way
Jackson, WY 83002-9725 - Phone
- (307) 733-7037
- Fax
- (307) 733-4955
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Physical Therapist
- Jackson, WY
- NPI 1356414684
-
- Physical Therapy Clinic/Center
- Jackson, WY
- NPI 1477681252
-
- Durable Medical Equipment & Medical Supplies
- Jackson, WY
- NPI 1770723348
-
- Physical Therapist
- Jackson, WY
- NPI 1578373890
-
- Physical Therapist
- Jackson, WY
- NPI 1013090539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 845 | WY | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| All Body Therapy, Inc. | Past | Accepting new patients | |
| All Body Therapy, Inc. | Past | Accepting new patients | |
| Four Pines Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Four Pines Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 845 | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1116 Maple Way
Jackson, WY 83002-9725
Mailing address
PO Box 729
Wilson, WY 83014-0729
Phone (307) 699-7667
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312610 | Other | WY | WY BCBS |
| 118929800 | Medicaid | WY |
Other names 1
NPPES NPI Registry- Ms. Diana C Howell
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2020.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1720161243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "WILSON",
"state": "WY",
"postal_code": "830140729",
"telephone_number": "307-699-7667",
"fax_number": "307-733-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 MAPLE WAY",
"city": "JACKSON",
"state": "WY",
"postal_code": "830029725",
"telephone_number": "307-733-7037",
"fax_number": "307-733-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "DIANA",
"middle_name": "HOWELL",
"name_prefix": "Mrs.",
"credential": "PT MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY BCBS",
"identifier": "312610",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118929800",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "HOWELL",
"middle_name": "C",
"prefix": "MS.",
"credential": "PT MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.