Individual provider Active NPI

Diana Chyrywaty

  • Physical Therapist
  • Santa Paula, CA
National Provider Identifier
1831646116
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40728 Issued in CA
Practice address
111 S Mill St
#123
Santa Paula, CA 93061-7001
Phone
(347) 224-6686
NPI assigned
Sep 5, 2016
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 40728 CA Primary

Addresses

Primary practice location

111 S Mill St
#123
Santa Paula, CA 93061-7001

Mailing address

145 G St
Ste E
Arcata, CA 95521-6694
Phone (347) 224-6686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130000252 CA Practitioner - Physical Therapist in Private Practice 1254741861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Forward Wellness and Physical TherapyGroup PAC ID 4183773492, 3 clinicians

Practice addresses (Care Compare)

2436 Foothill Blvd
Suite C
Calistoga, CA 94515-1209
Phone (707) 942-3927

957 Faulkner Rd
Suite 105
Santa Paula, CA 93060-9129
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Focus Forward Wellness & Physical Therapy Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients

Locations

2436 Foothill Blvd
Ste C
Calistoga, CA 94515
Phone (707) 942-3927

957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1831646116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 G ST",
            "address_2": "STE E",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216694",
            "telephone_number": "347-224-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MILL ST",
            "address_2": "#123",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930617001",
            "telephone_number": "347-224-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHYRYWATY",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.