Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Clancy, PTA

Individual provider Physical Therapy Assistant · NPI 1417220518

Diane Clancy, PTA is a Physical Therapy Assistant in Saint John, Indiana. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

10820 Park Pl
Saint John, IN 46373-8630
Phone: (708) 349-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.004974 (IL)

Record details

NPI number1417220518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2012
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address11634 W 105th St, Saint John, IN 46373-9113

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