MRS. LISA MARIE DIFFENBAUGH (NPI# 1205991585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205991585 |
Entity Type | Individual |
Full Name | MRS. LISA MARIE DIFFENBAUGH |
Credential | MSPT |
Practice Address |
204 Cameron Dr Douglassville PA 19518-8720 |
Mailing Address |
322 Luella Dr Kutztown PA 19530-1230 |
Practice Telephone | 4845299663 |
Practice Fax Number | 4849912109 |
Mailing Telephone | 5705944015 |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-05-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT016899 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | MA | 101209274 | 01 |
Street Address |
204 CAMERON DR |
City | DOUGLASSVILLE |
State | PA |
Zip Code | 19518-8720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145829 | Kathleen Marie Pearlberg | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2019-10-11 |
1871833194 | Ashley Dewitt | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2013-02-22 |
1407102767 | Elaine Walsh | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2012-07-24 |
1760781579 | Kimberly Davy | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2011-03-18 |
1790081503 | Vera Cutler | Physical Therapist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2011-01-27 |
1356586416 | Allison Ridge Valentine | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2008-12-03 |
1053591206 | Kristin B Lutz | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2007-11-05 |
1689799132 | Right Start Children's Services, LLC | Physical Therapist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2007-03-20 |
1952433492 | Karla Smith | Occupational Therapist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2007-03-11 |
1114059656 | Ellen Kwiatkowski | Speech-Language Pathologist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2007-03-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164072252 | Nicholas G Demaria | Counselor | 1125 Benjamin Franklin Hwy West, Douglassville, PA 19518 | 2019-09-19 |
1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
1518386432 | Aaron Bell | Counselor | 1125 Ben Franklin Highway West, Douglassville, PA 19518 | 2014-04-08 |
1942633532 | Cara Knaster | Psychologist | 39 Old Swede Rd Ste B, Douglassville, PA 19518 | 2013-08-19 |
1992050090 | Keiko Wolfe | Counselor | 1125 Benjamin Franklin Highway West, Douglassville, PA 19518 | 2012-07-16 |
1922364710 | Joelle R Lauchner | Internal Medicine | 957 Benjamin Franklin Highway, Douglassville, PA 19518 | 2012-04-05 |
1912292921 | Andrew John Schoenlein | Massage Therapist | 1139 West Benjamin Franklin Highway, Douglassville, PA 19518 | 2011-06-17 |
1437348539 | Wyomissing Optometric Center, Inc. | Optometrist | 1050 Benjamin Franklin Highway West, Douglassville, PA 19518 | 2007-10-15 |
1578683975 | Diedra Alston | Dentist | 1139 W Benjamin Franklin Hwy, Route 422, Douglassville, PA 19518 | 2007-03-30 |
1881602878 | Paul Stewart Elliott | Dentist | 1 Park Lane Center, Douglassville, PA 19518 | 2006-08-04 |
Find all providers in zip 19518 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689799132 | Right Start Children's Services, LLC | Physical Therapist | 204 Cameron Dr, Douglassville, PA 19518-8720 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
Find all providers with the same taxonomy |
City | DOUGLASSVILLE |
Zip Code | 19518 |
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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.