Individual provider Active NPI

Diana Christine Adamson, PT, DPT

  • Physical Therapist
  • Prince Frederick, MD
National Provider Identifier
1912544800
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28456 Issued in MD
Practice address
130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Phone
(410) 414-4791
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28456 MD Primary
Orthopedic Physical Therapist 2251X0800X 3541 NV

Addresses

Primary practice location

130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029

Mailing address

130 Hospital Rd Ste 103
Prince Frederick, MD 20678-4029
Phone (410) 414-4791

Other identifiers 1

IdentifierTypeStateIssuer
3541OtherNVNV PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505000061 MD Practitioner - Physical Therapist in Private Practice 5698162931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28456MDMDClinical Social Worker
3541NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Center, Inc. Physical Therapist Current Accepting new patients
Calverthealth Medical Center, Inc. Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients

Locations

10845 Town Center Blvd
Ste 100
Dunkirk, MD 20754
Phone (410) 257-5263

130 Hospital Rd
Ste 103
Prnc Frederck, MD 20678
Phone (410) 535-8180

14090 Hg Trueman Rd
Ste 1500
Solomons, MD 20688
Phone (410) 394-2838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1912544800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-414-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-414-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "DIANA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28456",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "3541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV PT LICENSE",
            "identifier": "3541",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.