Individual provider Active NPI

Diana Howell Obrien, PT MPT

  • Physical Therapist
  • Jackson, WY
National Provider Identifier
1720161243
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
845 Issued in WY
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.

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

LicenseStateTypeSpecialty
845WYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy, LLC Physical Therapist CurrentSince Nov 6, 2018 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 PastSince Mar 1, 2025 Accepting new patients
Four Pines Physical Therapy PC Physical Therapist PastSince Oct 4, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 845 WY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
312610OtherWYWY BCBS
118929800MedicaidWY

Other names 1

NPPES NPI Registry
  • Ms. Diana C Howell Former name

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.

Verify at the official NPI Registry.