Diane Elizabeth Walsh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00573900 Issued in NJ

Practice address

2902 Route 130
Tenby Plaza
Delran, NJ 08075-2525

Phone

(856) 461-8331

Fax

(856) 461-9099

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

Yes

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.

• Mercer Bucks Orthopaedics P.C.

  • Specialist
  • Hamilton, NJ
  • NPI 1801843511
  NPD (past)
• Rehabclinics SPT Inc

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)
• Rehabclinics SPT, Inc.

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2016.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1740242551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "STE 1402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "800-321-9999",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 ROUTE 130",
            "address_2": "TENBY PLAZA",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752525",
            "telephone_number": "856-461-8331",
            "fax_number": "856-461-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00089700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00573900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Voca Corporation of New Jersey
• Voca Corporation of New Jersey
• Voca Corporation of New Jersey
• Voca Corporation of New Jersey
• Walgreen Co
• Sativah Williams, MSW,LSW
• Jasmine Willis, BCBA
• Theresa Wilson
• Natalie Wright
• George Joseph Yost, RPH

• All providers in Delran, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.