Diego Diaz Sausa Jr., M.A., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 7037 Issued in FL

Practice address

14630 Palm Beach Blvd
Suite 6
Fort Myers, FL 33905-2333

Phone

(239) 690-3100

Fax

(239) 693-3200

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Functional Rehab of East Ft. Myers, Inc.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1699727156
  Medicare reassignment NPD Authorized official
• Florida Rehab and Pain Center, Inc.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1578516787
  NPD (past) Authorized official
• Pain & Rehab Center Inc

  • Physical Therapist
  • Estero, FL
  • NPI 1174747489
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1174567481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2565",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022565",
            "telephone_number": "239-850-1891",
            "fax_number": "239-561-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14630 PALM BEACH BLVD",
            "address_2": "SUITE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052333",
            "telephone_number": "239-690-3100",
            "fax_number": "239-693-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUSA",
        "first_name": "DIEGO",
        "middle_name": "DIAZ",
        "name_suffix": "Jr.",
        "credential": "M.A., DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Sauer, RN
• Heather R Sauerbier, RN
• Kenneth W Saul, DO
• Ira S Saunders, PA-C
• Marybeth Saunders, D.O.
• Douglas F. Savage, M.D.
• Alicia Savastano, DC
• Bailey Rebecca Alai Scalzi, PA-C
• Beret Anya Scangarello, MS
• Scappa Urology, PA

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.