PARKER DIAMOND (PT, DPT) – Orthopedic Physical Therapist, NPI 1053093286

PARKER DIAMOND (PT, DPT) is a healthcare provider. based in Fontana, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 304432 (CA). The NPI Number for PARKER DIAMOND (PT, DPT) is 1053093286

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
PARKER DIAMOND (PT, DPT)
NPI
1053093286
Phone
(408) 599-9012
Address
15119 HORIZON ST UNIT 9
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099481124
Graduation Year
2023 (3 years ago)
PAC ID
6305200742
Group Practice PAC ID
6204910417
Professional Enrollment ID
I20230918003891
Address ID
CA917300361RA10590DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for PARKER DIAMOND (PT, DPT)

  • 15119 HORIZON ST UNIT 9

    FONTANA, CA 923365273

    Phone: (408) 599-9012

    Type: Mailing

  • 10590 TOWN CENTER DR STE 100

    RANCHO CUCAMONGA, CA 917300361

    Phone: (909) 948-1124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230918003891IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8914$0
97140Therapy procedure using manual technique, each 15 minutes8814$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7211$0
View full utilization report →

Insurance plans in this area (ZIP 92336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204910417View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

What is the registry number for PARKER DIAMOND (PT, DPT)?
The registry entry for PARKER DIAMOND (PT, DPT) shows NPI 1053093286.
Is PARKER DIAMOND (PT, DPT) currently accepting referrals based on NPI status?
Registry metadata lists PARKER DIAMOND (PT, DPT) as active.
What type of care does PARKER DIAMOND (PT, DPT) provide?
PARKER DIAMOND (PT, DPT)'s profile centers on Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to PARKER DIAMOND (PT, DPT)?
PARKER DIAMOND (PT, DPT) shows a connection to Fontana, California in registry-derived data.
Can I export PARKER DIAMOND (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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