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

Mrs. Diane Alicia Ezernack, PT

Individual provider Physical Therapist · NPI 1093845711

Mrs. Diane Alicia Ezernack, PT is a Physical Therapist in Private Practice in Statesville, North Carolina. Graduated from University of Alabama School of Medicine in 2005, 21 years ago. Practices with Emergeortho PA, a 724-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
21
Trained at
University of Alabama School of Medicine
Licensed in
FL, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1414 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (828) 459-6824
Fax: (828) 655-2344
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10101 Park Rowe Ave, Baton Rouge, LA 70810-1686 — (225) 769-2200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23026 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT32489 (FL)

Record details

NPI number1093845711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Statesville