DIANE P ZELLEY PT
NPI 1285674085
Physical Therapist in Puyallup, WA
NPI Status: Active since June 08, 2006
Contact Information
8011 112TH STREET CT E
PUYALLUP, WA
ZIP 98373
Phone: (253) 581-5200
Fax: (253) 581-5203
- Individual
- Female
- Years of Experience 58
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About DIANE ZELLEY
This page provides the complete NPI Profile along with additional information for Diane Zelley, a provider established in Puyallup, Washington with a medical specialization in Physical Therapist and more than 58 years of experience. The healthcare provider is registered in the NPI registry with number 1285674085 assigned on June 2006. The practitioner's primary taxonomy code is 225100000X with license number PT00005637 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1285674085
- Provider Name
- DIANE P ZELLEY PT
- Other Name
- DIANE ZELLEY MILLER PT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8011 112TH STREET CT E PUYALLUP, WA 98373
- Location Phone
- (253) 581-5200
- Location Fax
- (253) 581-5203
- Mailing Address
- 9315 GRAVELLY LAKE DR SW SUITE 203 LAKEWOOD, WA 98499
- Mailing Phone
- (253) 581-5200
- Mailing Fax
- (253) 581-5203
- Medical School Name
- OTHER
- Graduation Year
- 1968
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-08-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT00005637
- License State
- WA
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 5022 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AB21210 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | |
| 31772 | OTHER (01) | WA | LABOR & INDUSTRIES |
| 8346934 | MEDICAID (05) | WA | |
| ZE9838 | OTHER (01) | WA | REGENCE BLUESHIELD |
| 8930588 | OTHER (01) | WA | L&I CRIME VICTIMS PROGRAM |
Medicare Participation & PECOS Enrollment Status
Diane Zelley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9436166287
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060320000371
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Therapy procedure using manual technique, each 15 minutes
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 325 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.07 for a new patient copayment and $17.82 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98373 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 7 | 4 | 0 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 7 | 8 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 8 + 0 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1285674085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801842307 | CHARLENE R ANGELOSANTE LMP Individual | Massage Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1063468585 | MRS. PAMELA J KIKILLUS PT, DSC Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1285680702 | JOSEPH S KRUGH PT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1952340556 | MELISSA A ELSING MPT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1043253032 | WILLIAM H O'GRADY DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1225063043 | GARRETT T YAMADA PT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1528265055 | MS. TALITHA M ROSHAU OTR Individual | Occupational Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 845-2060 |
| 1346447737 | WANDA E MORRIS COTA Individual | Occupational Therapy Assistant | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1801064621 | RYAN TIMOTHY ROTTMAN MOTR/L Individual | Occupational Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1952616757 | AMANDA SUE MOE DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1982992079 | THOMAS WARREN YOUNG DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1447506548 | DAVID DANIEL KIRK DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1972844900 | MS. VICTORIA LYNN MACKINDER OT Individual | Occupational Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1588770234 | MRS. JILL RITA GOODRICH MBA OTR/L Individual | Occupational Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1932391398 | DR. LYLE F. BOGART DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1023306727 | LINDSAY HAVENS BURKE DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1750783197 | LENORE MARIE SNARSKI DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1558310375 | OLYMPIC SPORTS AND SPINE REHABILITATION PS Organization | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1972951218 | JASON ALEXANDER WRIGHT DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
| 1629523428 | BRYNN ANN BLICKENSTAFF DPT Individual | Physical Therapist | 8011 112TH STREET CT E PUYALLUP, WA 98373 (253) 848-0662 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285674085, enumerated in the NPI registry as an "individual" on June 08, 2006
The provider is located at 8011 112th Street Ct E Puyallup, Wa 98373 and the phone number is (253) 581-5200
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 58 years of experience.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on June 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.