Individual provider Active NPI

Diana Delany Kanyarusoke, PT, DPT

  • Physical Therapist
  • Monroeville, PA
National Provider Identifier
1861207730
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030071 Issued in PA
Practice address
2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358
Phone
(412) 457-8200
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 PT030071 PA Primary

Addresses

Primary practice location

2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358

Mailing address

1033 Country Club Rd
Jeannette, PA 15644-4721
Phone (724) 549-8071

Other names 1

  • Diana Delany Watson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000765 PA Practitioner - Physical Therapist in Private Practice 4486177011 Reassigns benefits to 1 organization
Practice locations: Monroeville, PA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Brown Hounds Holdings IncGroup PAC ID 0941659122, 6 clinicians

Practice addresses (Care Compare)

2526 Monroeville Blvd
Suite 3/4
Monroeville, PA 15146-2358
Phone (412) 457-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030071PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Three Brown Hounds Holdings, Inc. Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

2526 Monroeville Blvd
Ste 34
Monroeville, PA 15146
Phone (412) 457-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1861207730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 COUNTRY CLUB RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444721",
            "telephone_number": "724-549-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 MONROEVILLE BLVD STE 3",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462358",
            "telephone_number": "412-457-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANYARUSOKE",
        "first_name": "DIANA",
        "middle_name": "DELANY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "WATSON",
            "middle_name": "DELANY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.