Diem Phuong Ha, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18407 Issued in MA

Practice address

28 Atlantic Ave
125 Lewis Wharf
Boston, MA 02110-3802

Phone

(617) 523-2766

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Downtown Physical Therapy and Rehab LLCGroup PAC ID 5193064194, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Downtown Physical Therapy and Rehab, LLC

  • Physical Therapist
  • Boston, MA
  • NPI 1538625710
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  NPD

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1821246174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ATLANTIC AVE",
            "address_2": "125 LEWIS WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "617-523-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ATLANTIC AVE",
            "address_2": "125 LEWIS WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103802",
            "telephone_number": "617-523-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "DIEM",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy V Gwon, M.D.
• Evan William Gwyn, M.D.
• Courtney Elisabeth Gwynne, MS, CGC
• Stephany Boafo Gyasi, CNP
• Bethel H Mariam
• Emily J Ha
• Joanna Ha
• Mason Nahun Ha
• Sierra Kaitlyn Ha
• Stephanie Ha

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.