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

Individual provider Physical Therapy Assistant · NPI 1326653676

MS. Traci Annette Diveley, PTA is a Physical Therapy Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in Illinois and North Carolina.

Licensed in
IL, NC
In the registry since
2020
Specialties on file
2
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

10810 Sandy Oak Ln
Raleigh, NC 27614-8386
Phone: (919) 846-7147
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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 A7261 (NC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160.001168 (IL)

Record details

NPI number1326653676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

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