Individual provider Active NPI

Diane Sampson

  • Physical Therapy Assistant
  • Village of Palmetto Bay, FL
National Provider Identifier
1003866450
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA12195 Issued in FL
Practice address
18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416
Phone
(305) 251-7477
Fax
(305) 251-7475
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA12195 FL Primary

Addresses

Primary practice location

18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416

Mailing address

18001 Old Cutler Rd
Suite 354
Village of Palmetto Bay, FL 33157-6416
Phone (305) 251-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA12195FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healis Rehabilitation Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003866450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 354",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576416",
            "telephone_number": "305-251-7477",
            "fax_number": "305-251-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 354",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576416",
            "telephone_number": "305-251-7477",
            "fax_number": "305-251-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA12195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.