Individual provider Active NPI

Diane Marie Wollensak, PT

  • Physical Therapist
  • Uxbridge, MA
National Provider Identifier
1891854451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8733 Issued in MA
Practice address
60 Quaker Hwy
Uxbridge, MA 01569-1628
Phone
(508) 278-7810
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8733 MA Primary

Addresses

Primary practice location

60 Quaker Hwy
Uxbridge, MA 01569-1628

Mailing address

41 Westcott Rd
Hopedale, MA 01747-1848
Phone (508) 634-3064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000283 MA Practitioner - Physical Therapist in Private Practice 1153586433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians
Orthopedic and Sports Physical Therapy IncGroup PAC ID 3072593300, 8 clinicians

Practice addresses (Care Compare)

439 Station Ave
South Yarmouth, MA 02664-1849
Phone (508) 394-3333

650 Plymouth St
East Bridgewater, MA 02333-2054
Phone (508) 378-4035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8733MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Physical Therapy , Inc Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Nov 6, 2019 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Nov 6, 2019 Accepting new patients
Orthopedic & Sports Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

320 Main St
Brockton, MA 02301
Phone (508) 583-2155

650 Plymouth St
East Bridgewtr, MA 02333
Phone (508) 378-4035

439 Station Ave
South Yarmouth, MA 02664
Phone (508) 237-7588

576 Broadhollow Rd
Ste Pro
Melville, NY 11747

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891854451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WESTCOTT RD",
            "city": "HOPEDALE",
            "state": "MA",
            "postal_code": "017471848",
            "telephone_number": "508-634-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUAKER HWY",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691628",
            "telephone_number": "508-278-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLENSAK",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uxbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.