Active NPI
Diana Croitoru
- Developmental Therapist
- Aventura, FL
National Provider Identifier
1114080843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 3400 NE 192ND St Apt 2106
Aventura, FL 33180-2459 - Phone
- (678) 698-8788
- NPI assigned
- Dec 16, 2006
- Last updated
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
3400 NE 192ND St Apt 2106
Aventura, FL 33180-2459
Mailing address
3400 NE 192ND St Apt 2106
Aventura, FL 33180-2459
Phone (678) 698-8788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812150800 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staging Stones LLC | Current | Accepting new patients | |
| Staging Stones LLC | Developmental Therapist | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Aventura, FL
- NPI 1316512718
-
- Early Intervention Provider Agency
- Aventura, FL
- NPI 1780143099
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1114080843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NE 192ND ST APT 2106",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802459",
"telephone_number": "678-698-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NE 192ND ST APT 2106",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802459",
"telephone_number": "678-698-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROITORU",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812150800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.