Healthcare Provider Details

I. General information

NPI: 1073606349
Provider Name (Legal Business Name): DIANA LYNN FRANK PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 GROUSE CT
FLOYDS KNOBS IN
47119-9419
US

IV. Provider business mailing address

PO BOX 363
FLOYDS KNOBS IN
47119-0363
US

V. Phone/Fax

Practice location:
  • Phone: 812-923-3163
  • Fax: 812-923-3163
Mailing address:
  • Phone: 812-923-3163
  • Fax: 812-923-3163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05001893A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number001247
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number05001893A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number001247
License Number StateKY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: