Individual provider Active NPI

Diane Marie Wood, PT

  • Physical Therapist
  • Watertown, NY
National Provider Identifier
1851421580
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027528 Issued in NY
Practice address
20053 Summit View Blvd Ste 2
Watertown, NY 13601-2263
Phone
(315) 681-4187
Fax
(315) 661-6068
NPI assigned
Mar 6, 2007
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011946A IN
Physical Therapist 225100000X 027528 NY Primary

Addresses

Primary practice location

20053 Summit View Blvd Ste 2
Watertown, NY 13601-2263

Mailing address

364 East Ave
Oswego, NY 13126-6148
Phone (315) 326-0056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000851 NY Practitioner - Physical Therapist in Private Practice 7012211188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Physical Therapy PCGroup PAC ID 8527023332, 6 clinicians

Practice addresses (Care Compare)

364 E Ave
Oswego, NY 13126-6148
Phone (315) 326-0056

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
88.68
Improvement activities
40
Cost
61.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027528NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warner Physical Therapy PC Physical Therapist CurrentSince Jan 22, 2021 Accepting new patients

Locations

364 East Ave
Oswego, NY 13126
Phone (315) 326-0056

20053 Summit View Blvd
Ste 2
Watertown, NY 13601
Phone (315) 681-4187

Organizations & group practices 1

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1851421580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 EAST AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266148",
            "telephone_number": "315-326-0056",
            "fax_number": "315-326-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012263",
            "telephone_number": "315-681-4187",
            "fax_number": "315-661-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011946A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.