Individual provider Active NPI

Diana Kulaya, DPT

  • Physical Therapist
  • Salem, VA
National Provider Identifier
1740558857
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211694 Issued in VA
Practice address
109 Knotbreak Rd
Salem, VA 24153
Phone
(540) 772-8022
Fax
(540) 772-0294
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 2305211694 VA Primary

Addresses

Primary practice location

109 Knotbreak Rd
Salem, VA 24153

Mailing address

4533 Brambleton Ave
Roanoke, VA 24018-3436
Phone (540) 772-8022

Other practice location 1

22415 US Highway 27
Lake Wales, FL 33859-6861
Phone (863) 676-5052

Other practice location 2

22415 US Highway 27
Lake Wales, FL 33859-6861
Phone (863) 676-5052

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@lucas-therapies-pc.direct.kno2fy.com Carilion Clinic

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226002278 VA Practitioner - Physical Therapist in Private Practice 8820255946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Physical Therapy Inc Physical Therapist CurrentSince Dec 2, 2019 Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

4325 Brambleton Ave
Ste A
Roanoke, VA 24018

4533 Brambleton Ave
Roanoke, VA 24018
Phone (540) 989-1246

109 Knotbreak Rd
Salem, VA 24153

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: referrals@lucas-therapies-pc.direct.kno2fy.com

Organizations & group practices 3

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1740558857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183436",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22415 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338596861",
            "country_code": "US",
            "telephone_number": "863-676-5052",
            "fax_number": "863-676-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22415 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338596861",
            "country_code": "US",
            "telephone_number": "863-676-5052",
            "fax_number": "863-676-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULAYA",
        "first_name": "DIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@lucas-therapies-pc.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Carilion Clinic",
            "address_1": "109 Knotbreak Rd",
            "city": "Salem",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.