Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Dianne Patricia Kirk, PTA

Individual provider Physical Therapy Assistant · NPI 1619250008

MS. Dianne Patricia Kirk, PTA is a Physical Therapy Assistant in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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

201 Sunrise Hwy
Patchogue, NY 11772-1868
Phone: (631) 218-4181
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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 002617-1 (NY)

Record details

NPI number1619250008
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 22, 2011
Last updated in NPPESSeptember 22, 2011

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