NPIMap

Organization Active NPI

Diane K. Greenberg, PT

Doing business as Bristol Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Bristol, VT
National Provider Identifier
1912119280
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DIANE K. GREENBERG, PT
Doing business as
Bristol Physical Therapy
Practice address
167 Monkton Rd
Suite 101B
Bristol, VT 05443-5045
Phone
(802) 453-7200
NPI assigned
May 7, 2007
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Diane Karen Greenberg, PTNPI 1730268103
Title
Owner Therapist
Phone
(802) 453-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

167 Monkton Rd
Suite 101B
Bristol, VT 05443-5045

Mailing address

167 Monkton Rd
Suite 101B
Bristol, VT 05443-5045
Phone (802) 453-7200

Other identifiers 1

IdentifierTypeStateIssuer
BRIS00058197OtherVTBCBSVT

Other names 1

  • Bristol Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

25 Main St
Ste A
Bristol, VT 05443
Phone (802) 453-7200

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1912119280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MONKTON RD",
            "address_2": "SUITE 101B",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435045",
            "telephone_number": "802-453-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MONKTON RD",
            "address_2": "SUITE 101B",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435045",
            "telephone_number": "802-453-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE K. GREENBERG, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER  THERAPIST",
        "authorized_official_telephone_number": "802-453-7200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "BRIS00058197",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.