Provider Demographics
NPI:1841268471
Name:FISHER-KATZ, DIANE E (PT)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:E
Last Name:FISHER-KATZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:E
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-586-9286
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA123140OtherFALLON
MAY66544OtherBLUE CROSS BLUE SHIELD
MA2329197OtherAETNA US HEALTHCARE
MA650020187OtherRAILROAD MEDICARE
MA470247OtherTUFTS HEALTH PLAN
MA0364789Medicaid
MA650020187OtherRAILROAD MEDICARE
MATX1345Medicare PIN