Diane Alicia Ezernack, P.T.
Physical Therapist · Statesville, NC
At a glance
1414 Fern Creek Dr, Statesville, NC 28625-9376
NPPES record updated Mar 27, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1414 Fern Creek DrStatesville, NC 28625-9376
Additional reported practice locations
10101 Park Rowe AveSte. 200
Baton Rouge, LA 708101686
Phone: 2257692200 · Ext. 2164
Fax: 2257682185
Education & affiliations
- Medical / professional school
- University Of Alabama School Of Medicine
- Graduation year
- 2005
- CMS specialties
- Physical Therapist In Private Practice
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $5.73 |
Reporting companies
| Company | Amount |
|---|---|
| ELECTRONIC WAVEFORM LAB, INC. | $5.73 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physical Therapist
- Taxonomy code
- 225100000X
- Enumeration date
- Mar 6, 2007
- Record updated
- Mar 27, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- P.T.
Reported taxonomies and licenses
225100000X
License reported: PT32489 FL
225100000X · Primary
License reported: P23026 NC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1414 Fern Creek DrStatesville, NC 28625-9376
- Phone
- (828) 459-6824
- Fax
- (828) 655-2344
Mailing address
PO BOX 5105BELFAST, ME 049155100
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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