Diane Pearl Cummings, PHYSICAL THERAPY AS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT396 Issued in CA

Practice address

5555 Montgomery Dr
Spring Lake Village Skilled Nursing Facility
Santa Rosa, CA 95409

Phone

(707) 579-6972

NPI assigned

Apr 6, 2007

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

Other names 1

• Diane Pearl Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841312170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "SUITE 100 CONSONUS HEALTHCARE SERVICES",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 MONTGOMERY DR",
            "address_2": "SPRING LAKE VILLAGE SKILLED NURSING FACILITY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "707-579-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "DIANE",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPY AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "JOHNSON",
            "middle_name": "PEARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Suzanne Culhane, M.D.
• Deborah A Cullen
• Richard M. Cullinen
• Pamela Cullum, RN, CMM, DOULA
• Regina Lynn Culver, LMFT
• Christine Lee Cuneo
• Fiona Mary Cunningham, CRNA
• Leeann Marie Cuny, D.O.
• Cura Bona LLC
• Wendy Wai Li Curnow, FNP

• Physical Therapy Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.