IndividualActive
Kevin Diana, PTA
NPI 1093201097 · Physical Therapy Assistant · Orange City, FL
Provider details
- NPI number
- 1093201097
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 17272 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2884 Wellness Ave
Orange City, FL 32763-8426
Phone: (386) 774-4404
Fax: (386) 774-4496
Street-level locationGet directions
Mailing address
120 Willowbay Ridge St
Sanford, FL 32771-7990
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.