Bethzaida Diaz, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2088 Issued in FL

Practice address

333 Tamiami TRL S
Suite 207
Venice, FL 34285-2402

Phone

(941) 484-2471

Fax

(941) 484-5487

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Bethzaida Diaz Lopez Velez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greene Rehab Services PA

  • Rehabilitation Clinic/Center
  • Venice, FL
  • NPI 1831192970
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184656308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WOODINGHAM LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923929",
            "telephone_number": "941-493-9697",
            "fax_number": "941-484-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S",
            "address_2": "SUITE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-484-2471",
            "fax_number": "941-484-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "BETHZAIDA",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA2088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHZAIDA",
            "last_name": "DIAZ LOPEZ VELEZ",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nagarajan Devar, M.D.
• John B. Devine II, M.D.
• Douglas M Deyoung, LPTA
• Veronica Deza, L.P.N., C.L.C.
• Diane M. Robarts, Dom, PA
• Leslie Kent Diaz Sr., OD
• Elliot D Dibbs, DDS
• Evann Dickerson, DPT
• Julie Dickinson, ARNP
• Robert Dienes, MD

• Physical Therapy Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.