Individual provider Active NPI

Diane Antoinette Thompson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mangonia Park, FL
National Provider Identifier
1851618797
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
273447 Issued in NY
Practice address
901 45TH St
Mangonia Park, FL 33407-2413
Phone
(561) 882-6494
Fax
(561) 841-9953
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X ME161062 FL
Physical Medicine & Rehabilitation Physician 208100000X 273447 NY Primary

Addresses

Primary practice location

901 45TH St
Mangonia Park, FL 33407-2413

Mailing address

700 S Rosemary Ave Ste 204
West Palm Beach, FL 33401-6310
Phone (917) 250-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140930000868 NY Practitioner - Physical Medicine and Rehabilitation 9133349962 Reassigns benefits to 3 organizations
I20230613001835 FL Practitioner - Physical Medicine and Rehabilitation 9133349962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303517NYMDLicensed Practical Nurse
ME161062FLMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2016 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Physical Medicine & Rehabilitation CurrentSince Jan 1, 2018 Accepting new patients
Kings Physician Services, PC CurrentSince Apr 1, 2020 Accepting new patients
Kings Physician Services, PC CurrentSince Apr 1, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 5, 2023 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Weill Medical College of Cornell PastSince Feb 1, 2020 Accepting new patients
Weill Medical College of Cornell PastSince Feb 1, 2020 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
#199
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

525 E 68th St
Fl 16
New York, NY 10065
Phone (212) 746-1500

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1851618797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "917-250-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-882-6494",
            "fax_number": "561-841-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DIANE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "FL",
            "license": "ME161062",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "273447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.