DR. DIANE O'SULLIVAN (NPI# 1699214320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699214320 |
Entity Type | Individual |
Full Name | DR. DIANE O'SULLIVAN |
Credential | PT, DPT |
Practice Address |
2112 Riverdale St Ste 1 West Springfield MA 01089-1099 |
Mailing Address |
12 Fairfield Ave Haydenville MA 01039-9701 |
Practice Telephone | 4137487223 |
Mailing Telephone | 4139231925 |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
8730 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2112 RIVERDALE ST STE 1 |
City | WEST SPRINGFIELD |
State | MA |
Zip Code | 01089-1099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114451473 | Lynne Mia Davis | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366040990 | Konrad Syrek | Behavioral Analyst | 1472 Riverdale St. Suite A, West Springfield, MA 01089 | 2020-10-15 |
1861099335 | Vanna Leang | Behavioral Analyst | 1472 Riverdale St, Suite A, West Springfield, MA 01089 | 2020-10-07 |
1215534755 | Malakie Berry | Behavioral Analyst | 1472 Riverdale St., Suite A, West Springfield, MA 01089 | 2020-10-07 |
1952800930 | Nicole Coughlin | Social Worker | 103 Myron St. Suite A, West Springfield, MA 01089 | 2018-02-06 |
1679017156 | Tender Care Helping Hands LLC | Home Health | 1434 Memorial Ave, Westspringfield, MA 01089 | 2016-12-19 |
1154736130 | Mikin Patel | Dentist | 235b Memorial Ave, West Springfield, MA 01089 | 2014-06-27 |
1881029312 | Melinda A Koblosh | Physical Therapist | 1111 Elm St., Suite 9, West Springfield, MA 01089 | 2013-09-03 |
1316379852 | Jessica C Marquez | Social Worker | 204 Wayside Ave, West Springfield, MA 01089 | 2013-08-07 |
1114360112 | Center for Human Development | In Home Supportive Care | 247 Park St, West Springfield, MA 01089 | 2013-04-10 |
1336421395 | John L. O'neill | Social Worker | 103 Myron Street Suite A, West Springfield, MA 01089 | 2011-09-15 |
Find all providers in zip 01089 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114451473 | Lynne Mia Davis | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245863208 | Bernard Paul Tabungar | Physical Therapist | 630 Merrill Ln Apt 4, Dracut, MA 01826-4450 | 2020-02-18 |
1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
1952965329 | Sarah Daly | Physical Therapist | 125 Parker Hill Ave # Main2, Boston, MA 02120-2847 | 2019-04-30 |
1518430651 | Kennedy Ndamba | Physical Therapist | 119 Foster St, Peabody, MA 01960-5933 | 2019-01-10 |
1134634082 | Victoria Kilroy | Physical Therapist | 110 Haverhill Rd Ste 344, Amesbury, MA 01913-2139 | 2017-12-13 |
1760923825 | Karen Oster | Physical Therapist | 23 Shipyard Dr Apt 206, Hingham, MA 02043-1609 | 2017-03-09 |
1033515135 | Alice Hooper | Physical Therapist | 40 Pine Ridge Dr, Bridgewater, MA 02324-1964 | 2014-11-17 |
1952744377 | Amy Elizabeth Strong | Physical Therapist | 190 Peck St, Franklin, MA 02038-2218 | 2013-04-16 |
1750664017 | Virginia Elaine Silvia | Physical Therapist | 383 East St, Brockton, MA 02302 | 2011-09-23 |
1205151040 | Pamela Jean Pellegrini | Physical Therapist | 36 Bay Farm Rd, Kingston, MA 02364-1555 | 2010-04-05 |
Find all providers with the same taxonomy |
City | WEST SPRINGFIELD |
Zip Code | 01089 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.