Individual provider Active NPI

Dianne E. Smith, MPT

  • Physical Therapist
  • Hemet, CA
National Provider Identifier
1891828430
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0PT185890 Issued in CA
Practice address
1515 W Florida Ave
Suite E
Hemet, CA 92543-3817
Phone
(951) 658-3121
Fax
(951) 652-6994
NPI assigned
Mar 13, 2007
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 0PT185890 CA Primary

Addresses

Primary practice location

1515 W Florida Ave
Suite E
Hemet, CA 92543-3817

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Other names 1

  • Dianne E. McDown Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923001492 CA Practitioner - Physical Therapist in Private Practice 0547386872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0PT185890CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy-Sports Institute, Inc. Physical Therapist CurrentSince Jan 1, 2009 Accepting new patients
Physical Therapy Sports Institute Dennis L. Rohrig PT & Associates, in Physical Therapist PastSince Jan 1, 2009 Accepting new patients

Locations

1515 W Florida Ave
Ste E
Hemet, CA 92543
Phone (714) 658-3121

1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111

Interoperability endpoints

  • Direct secure messaging: dianne.smithpt.p16@direct.kmsm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1891828430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "address_2": "SUITE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433817",
            "telephone_number": "951-658-3121",
            "fax_number": "951-652-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANNE",
        "middle_name": "E.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0PT185890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "MCDOWN",
            "middle_name": "E.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.