Damitz Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DAMITZ PHYSICAL THERAPY LLC

Practice address

2190 E Markland Ave
Kokomo, IN 46901-6240

Phone

(765) 480-4696

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Tyson Damitz, DPTNPI 1629180922

Title

Owner

Phone

(765) 480-4696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyson S. Damitz, DPT

  • Physical Therapist
  • Fishers, IN
  • NPI 1629180922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1104519818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016240",
            "telephone_number": "765-480-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016240",
            "telephone_number": "765-480-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMITZ PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "DAMITZ",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-480-4696",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Daggett
• Aubree Daily
• Rita M. Daily, LMHC, LCAC
• Shelby Leigh Daine
• Laura Dalpoas, PTA
• Charles T. Damitz, PT
• Zoe Damron
• Lucia Dance
• Madison Dance, PTA
• Anna Elizabeth Dando

• Physical Therapist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.