Diamond D Rehab Fitness & Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DIAMOND D REHAB FITNESS & WELLNESS

Practice address

27 W General Crook Trail
Suite 5
Camp Verde, AZ 86322

Phone

(928) 821-6620

NPI assigned

Jan 10, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danya Weir, PTA

Title

Owner

Phone

(928) 364-0011

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brennan T Kitchen, PT, DPT

  • Physical Therapist
  • Cottonwood, AZ
  • NPI 1598458192
  Medicare reassignment NPD
• Carlee Savannah Oesterreich, LMT

  • Massage Therapist
  • Camp Verde, AZ
  • NPI 1457212755
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1316718273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 S DODGE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226857",
            "telephone_number": "928-821-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W GENERAL CROOK TRAIL",
            "address_2": "SUITE 5",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-821-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND D REHAB FITNESS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "DANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-364-0011",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ben Denny, PSY.D.
• Desert Family Health Care LLC
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (Yavapai-Apache Health Center)
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (YAHC Dental Services)
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (YAHC Professional Services)
• Jennifer Dorn, NURSE PRACTITIONER
• Dr. Thomas C Scherich
• Leanna Drake, FNP-C
• Bryan J Ebeling
• Joseph Wayne Elio, PA

• Physical Therapy Clinic/Center in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.