Diane Fornek, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2156 Deep Water Lane
Naperville, IL 60564

Phone

(630) 904-5641

Fax

(630) 904-5661

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902992407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 SPRINGDALE CIRCLE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-778-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 DEEP WATER LANE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-904-5641",
            "fax_number": "630-904-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEK",
        "first_name": "DIANE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Foote, MS CCC SLP/L
• Mary Ann Foote, RN MSN CANP CWCN ED.
• For Eyes Optical of PA
• Brooke Marie Forbes, LMT
• Forefront Dermatology, S.C.
• Manucher Michael Forutan, MD
• Shari Ruth Fossier, PT
• Foster Health PLLC
• Kelli Foster, RD
• Elizabeth Fotopoulos

• Physical Therapy Assistant in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Therapy Assistant in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.