Active NPI
Diadem Rhoda Madda, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1982910170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032128-1
- Practice address
- 1213 Avenue P
Brooklyn, NY 11229-1008 - Phone
- (718) 339-6885
- Fax
- (718) 339-0945
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032128-1 | NY | Primary |
Addresses
Primary practice location
1213 Avenue P
Brooklyn, NY 11229-1008
Mailing address
1213 Avenue P
Brooklyn, NY 11229-1008
Phone (718) 339-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032128-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Brooklyn, NY
- NPI 1215143680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1982910170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291008",
"telephone_number": "718-339-6885",
"fax_number": "718-339-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291008",
"telephone_number": "718-339-6885",
"fax_number": "718-339-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDA",
"first_name": "DIADEM",
"middle_name": "RHODA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032128-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.