Amy Diehl, MSPT
Individual provider Active NPI Physical Therapist · Phila, PA
NPI 1902848427 · NPPES record last updated Mar 9, 2009
Key facts
- NPI
- 1902848427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015673 (PA)
- Practice address
- 9475 Roosevelt Blvd
Phila, PA 19114-2212 - Phone
- (215) 464-6200
- Fax
- (215) 464-9834
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarion Rehabilitation and Aquatic Therapy LLC
Practice addresses (Care Compare)
499 Mayfield Rd
Ofc 134
Clarion, PA 16214-6101
Phone (814) 226-1356
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040611000678 | PA | Practitioner - Physical Therapist in Private Practice | 6002899887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Rehabilitation and Aquatic Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Foulk Road Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
499 Mayfield Rd
Ofc 134
Clarion, PA 16214
Phone (814) 226-1355
18 Sportsman Dr
Ste 10
Clarion, PA 16214
Phone (814) 226-1355
499 Mayfield Rd
Ste 134
Clarion, PA 16214
Phone (814) 226-1355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015673 | PA | Yes |
Addresses
Primary practice location
9475 Roosevelt Blvd
Phila, PA 19114-2212
Mailing address
1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581
Phone (302) 793-0432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1412637 | Other | PA | PA BS PROVIDER ID |
| 2099536000 | Other | PA | AMERIHEALTH |
Other providers in Phila, PA
- James John Demarino
- Ralph J Demarino
- Renee Dempsey
- William J Dennis
- Mary Dhand
- Digiulio Physical Therapy & Wellness, LLC
- Catherine Dillon
- Dimarino-Kroop-Prieto Gastrointestinal Associates PA
- Anthony J. Dimarino Jr.
- Michael C. Dimarino
All providers in Phila, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.