Thomas Diangelis, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 60255361 Issued in WA

Practice address

19217 36TH Ave W
Ste 102
Lynnwood, WA 98036-5751

Phone

(425) 670-9991

Fax

(425) 670-9995

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Burien, WA
  • NPI 1780037689
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1871579144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W",
            "address_2": "STE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-670-9991",
            "fax_number": "425-670-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W",
            "address_2": "STE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-670-9991",
            "fax_number": "425-670-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANGELIS",
        "first_name": "THOMAS",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60255361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0288715",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Nichole Despain, LMP
• Zoe Devon, M.ED., BCBA
• Katherine M Dewey
• Neha Dhand
• Dialogical Therapy, PLLC
• Lorenzo Diaz Carrillo, OTD, OTR/L
• Lourdes Diaz Monroy
• Heather I Diaz, LMHC
• Johanna Nicole Dibble, RD
• Deanna Irene Dickerman, M.D.

• Physical Therapist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.