MRS. DIANE ALICIA EZERNACK P.T.
NPI 1093845711
Physical Therapist in Statesville, NC

Active since March 06, 2007Accepts Medicare Assignment
1414 FERN CREEK DR, STATESVILLE, NC 28625(828) 459-6824(828) 655-2344 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Mar 20, 2025, Feb 21, 2025 (3 updates tracked since 2025).

About Mrs. Diane Alicia Ezernack P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANE ALICIA EZERNACK P.T. (NPI 1093845711) is an individual physical therapist in Statesville, North Carolina, licensed in North Carolina (P23026) and active in the NPI registry since March 2007. She maintains a secondary practice location in Baton Rouge and is a graduate of University Of Alabama School Of Medicine (2005).

NPPES Registry Identity

NPI1093845711
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. DIANE ALICIA EZERNACKCredential: P.T.
Location Address1414 FERN CREEK DRStatesville, NC 28625-9376
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255 · Fax (919) 220-6971
Fax(828) 655-2344
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2005
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1093845711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in NC · P23026 Licensed in FL · PT32489
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1414 FERN CREEK DR, Statesville, NC 28625

Secondary Practice Location 1

Location 110101 Park Rowe Ave, Ste. 200Baton Rouge, LA 70810-1686 · Phone (225) 769-2200 ext. 2164 · Fax (225) 768-2185

Other Identifiers 1

OtherP23026NC · Pt License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Diane Alicia Ezernack P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618906389
PECOS Enrollment IDI20250418001988

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Sports Medicine)
1414 FERN CREEK DR
STATESVILLE, NC 28625
Surgery
1414 FERN CREEK DR
STATESVILLE, NC 28625
Physician Assistant
1414 FERN CREEK DR
STATESVILLE, NC 28625
Orthopaedic Surgery
1414 FERN CREEK DR
STATESVILLE, NC 28625
Allergy & Immunology
1414 FERN CREEK DR
STATESVILLE, NC 28625
Allergy & Immunology
1414 FERN CREEK DR
STATESVILLE, NC 28625
Family Medicine
1414 FERN CREEK DR
STATESVILLE, NC 28625
Family Medicine
1414 FERN CREEK DR
STATESVILLE, NC 28625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Ezernack's NPI number?

The NPI number for Diane Ezernack is 1093845711. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Diane Ezernack located?

Diane Ezernack practices at 1414 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (828) 459-6824.

What is Diane Ezernack's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Diane Ezernack enrolled in Medicare?

Yes. Diane Ezernack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Diane Ezernack accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Diane Ezernack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Ezernack was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.