Provider Demographics
NPI:1740339712
Name:SCHWAHN, DIANA LYNN (PT, ATC, MA)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:LYNN
Last Name:SCHWAHN
Suffix:
Gender:F
Credentials:PT, ATC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11405 DAVENPORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2526
Mailing Address - Country:US
Mailing Address - Phone:402-740-8400
Mailing Address - Fax:402-547-4200
Practice Address - Street 1:11405 DAVENPORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2526
Practice Address - Country:US
Practice Address - Phone:402-740-8400
Practice Address - Fax:402-547-4200
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEP0036802OtherRAILROAD MEDICARE
NE02317OtherBCBS
NENA1050002Medicare PIN
NEP0036802OtherRAILROAD MEDICARE