NPI Code Details Logo

NPI 1740025386

NPI 1740025386 : ANGELA ELIZABETH DIORIO : PISMO BEACH, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740025386
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANGELA ELIZABETH DIORIO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/26/2024
-----------------------------------------------------
    Last Update Date     |    07/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    533 FIVE CITIES DR STE C6 
-----------------------------------------------------
    City                 |    PISMO BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93449-3006
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-489-7912
-----------------------------------------------------
    Fax                  |    805-489-9697
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    203 LIMBERLINE DR 
-----------------------------------------------------
    City                 |    GREENSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15601-9028
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-640-9760
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PT021220
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PT032337
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PT308353
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.