Diamond Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DIAMOND PHYSICAL THERAPY

Practice address

1865 RT 30
Ligonier, PA 15658-1214

Phone

(724) 238-9185

NPI assigned

Oct 4, 2006

Last updated

Sep 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome James Deriso, MPTNPI 1689728867

Title

Owner, Physical Therapist

Phone

(724) 238-9185

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerome James Deriso, MPT

  • Physical Therapist
  • Ligonier, PA
  • NPI 1689728867
  Medicare reassignment Care Compare group NPD Authorized official
• Darleen Marie Ross, P.T.

  • Physical Therapist
  • Ligonier, PA
  • NPI 1679795587
  Medicare reassignment Care Compare group NPD
• Zachary Blahovec, PT

  • Physical Therapist
  • Uniontown, PA
  • NPI 1558762781
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1891880001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 30 W",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 RT 30",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581214",
            "telephone_number": "724-238-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "DERISO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-238-9185",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016044730006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Decosmo, MD
• Joseph D Deluca
• Adam Dematteo
• Diana F Denning, MD
• Jerome James Deriso, MPT
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group Ligonier)
• Dominion Therapy Services, LLC
• Sally C. Donnelly, PH.D.
• Dpa Medical Services Inc
• Ehpp Chestnut Ridge LLC (Excela Chestnut Ridge Ligonier)

• Physical Therapy Clinic/Center in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.