Erin Diffenderffer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6514 Issued in GA

Practice address

4377 Dunmore Rd NE
Marietta, GA 30068-4222

Phone

(678) 595-8662

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Corr Former name

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1740882463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 DUNMORE RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684222",
            "telephone_number": "678-595-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 DUNMORE RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684222",
            "telephone_number": "678-595-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENDERFFER",
        "first_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "6514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CORR",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark W Diehl, M.D.
• Sandra Ann Diehl, MD
• Danielle Ann Dietrich, DC
• Katherine Dietzel, DPT
• Jacqueline Lydia Difelice, PA-C
• Digestive Healthcare of Ga, P.C.
• Digital Radiographic Diagnostics, LLC
• Miranda G Dillard-Whymss, LMSW
• Lisa J. Dillard, M.D.
• Michael Brice Dille, MD

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.