| Lisa Diebold, MSPT | |
|
10 High St, Wakefield, RI 02879-3144 | |
| (401) 783-8077 | |
| (401) 789-6029 |
| Full Name | Lisa Diebold |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10 High St, Wakefield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639196538 | NPI | - | NPPES |
| 412405 | Other | RI | RI BLUE CHIP |
| 11440422 | Other | RI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1309 (Rhode Island) | Primary |
| Provider Name | Affinity Physicians Llc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
| Provider Name | Orthopedics Rhode Island Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407231293 PECOS PAC ID: 7012225907 Enrollment ID: O20150925001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Diebold, MSPT 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 789-2845 | Lisa Diebold, MSPT 10 High St, Wakefield, RI 02879-3144 Ph: (401) 783-8077 |
Jennifer Leigh Kaye, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 Kingstown Rd, Wakefield, RI 02879 Phone: 401-284-3424 Fax: 401-284-3426 | |
Anne Kimpton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Wakefield, RI 02879 Phone: 401-783-8077 Fax: 401-789-6029 | |
Briana Nicole O'grady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 High St, Wakefield, RI 02879 Phone: 401-783-8077 | |
Meg O'neill, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 46 Holley St Ste 3, Wakefield, RI 02879 Phone: 401-284-0770 Fax: 401-284-0909 | |
Dr. Adam Ramon Brissenden, PT, DPT, CERT. DN Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Main St, Wakefield, RI 02879 Phone: 401-782-4049 Fax: 401-782-0890 | |
Dr. Dominique Marie Collins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 163 Main St, Wakefield, RI 02879 Phone: 401-782-4049 | |
Maureen H Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 High St, Wakefield, RI 02879 Phone: 401-783-8077 Fax: 401-789-6029 |