Dawn L Driesner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.020720 Issued in IL

Practice address

2136 Vadalabene Dr
Maryville, IL 62062-5828

Phone

(618) 288-4677

Fax

(618) 288-4699

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1740349679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "address_2": "SUITE 301",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-441-0482",
            "fax_number": "618-441-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 VADALABENE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625828",
            "telephone_number": "618-288-4677",
            "fax_number": "618-288-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESNER",
        "first_name": "DAWN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020720",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014030090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Diaz
• Thomas Francis Dissette Jr., DNP, APRN, FNP-C
• Alexandra Doornink, MA
• Amy Dowd, OT
• Dr. David B. Yablonsky, D.O., P.C.
• Megan Jean Droege, LCPC
• Heidi Dawn Duff, PA-C
• Jessica Erin Duft, RN
• Connie Ann Dumm, CRNA
• Darren Dunahee, MBA, MSW, LCSW

• Physical Therapist in Maryville, IL
• Providers in Maryville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.