Individual provider Active NPI

Paula Beth Diffie, PT,DPT

  • Physical Therapist
  • Odessa, TX
National Provider Identifier
1942588496
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1208772 Issued in TX
Practice address
620 N Alleghaney Ave
Odessa, TX 79761-4408
Phone
(432) 332-8244
Fax
(432) 580-7428
NPI assigned
Aug 2, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1208772 TX Primary

Addresses

Primary practice location

620 N Alleghaney Ave
Odessa, TX 79761-4408

Mailing address

620 N Alleghaney Ave
Odessa, TX 79761-4408
Phone (432) 332-8244

Other identifiers 1

IdentifierTypeStateIssuer
1208772OtherTXPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809000031 TX Practitioner - Physical Therapist in Private Practice 5294139622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheelchair Clinic IncGroup PAC ID 0941613590, 51 clinicians

Practice addresses (Care Compare)

4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1208772TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Permian Basin Rehabilitation Center for Crippled Children and Adults Physical Therapist Past Accepting new patients
Permian Basin Rehabilitation Center Past Accepting new patients

Locations

4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1942588496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614408",
            "telephone_number": "432-332-8244",
            "fax_number": "432-580-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614408",
            "telephone_number": "432-332-8244",
            "fax_number": "432-580-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFIE",
        "first_name": "PAULA",
        "middle_name": "BETH",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1208772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1208772",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.