Organization Active NPI

Diane Siwek PT Inc

  • Contractor
  • Boca Raton, FL
National Provider Identifier
1912246737
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
PT0001921 Issued in FL
Legal business name
DIANE SIWEK PT INC
Practice address
5299 Park Place Cir
Boca Raton, FL 33486-1462
Phone
(561) 573-5955
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Ms. Diane Siwek, P.T.NPI 1134289333
Title
Director
Phone
(561) 573-5955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X PT0001921 FL Primary

Addresses

Primary practice location

5299 Park Place Cir
Boca Raton, FL 33486-1462

Mailing address

5299 Park Place Cir
Boca Raton, FL 33486-1462
Phone (561) 573-5955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130709000139 FL Part B Supplier - Clinic/Group Practice 1850531278 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1912246737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5299 PARK PLACE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861462",
            "telephone_number": "561-573-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5299 PARK PLACE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861462",
            "telephone_number": "561-573-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE SIWEK PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "SIWEK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-573-5955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "PT0001921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.