Subject Numbers Regarding Health Provider Authorizations

Authorization No. PT011523-8W

April 4, 2022

Please be advised that physical therapist ("PT") Dianne S. Raney has resigned her authorization to treat injured workers in the New York State workers' compensation system effective April 1, 2022. PT Raney's last known practice address is:

540 White Spruce Boulevard
Rochester, New York 14623

PT Raney is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by PT Raney for services rendered prior to April 1, 2022, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine PT Raney for services rendered prior to April 1, 2022, should not be denied due to her resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.