Active NPI
Diane Louise Dill-Peterson, L.M.T.
- Massage Therapist
- Safety Harbor, FL
National Provider Identifier
1811128192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0007222
- Practice address
- 132 10TH Ave N
Suite 105
Safety Harbor, FL 34695-3407 - Phone
- (727) 726-6602
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA0007222 | FL | Primary |
Addresses
Primary practice location
132 10TH Ave N
Suite 105
Safety Harbor, FL 34695-3407
Mailing address
132 10TH Ave N
Suite 105
Safety Harbor, FL 34695-3407
Phone (727) 726-6602
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA0007222 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1811128192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 10TH AVE N",
"address_2": "SUITE 105",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953407",
"telephone_number": "727-726-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 10TH AVE N",
"address_2": "SUITE 105",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953407",
"telephone_number": "727-726-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL-PETERSON",
"first_name": "DIANE",
"middle_name": "LOUISE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0007222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.