Pelvic Physical Therapy of the Palm Beaches

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PELVIC PHYSICAL THERAPY OF THE PALM BEACHES

Practice address

800 Village Square Xing # 118
Palm Beach Gardens, FL 33410-4540

Phone

(410) 830-0619

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jodi Samara Diamond, PTNPI 1619166949

Title

President

Phone

(410) 830-0619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Jodi Samara Diamond, MPT

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1619166949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1407557986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VILLAGE SQUARE XING STE 118",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104540",
            "telephone_number": "410-830-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VILLAGE SQUARE XING # 118",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104540",
            "telephone_number": "410-830-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC PHYSICAL THERAPY OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "SAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-830-0619",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Denise Peers, ATC
• Mikenia Pelegrin
• Pellegrino Chiropractic Center
• Rocco J Pellegrino, D.C.
• Pelvic Health Solutions LLC
• Norma Pena Ruiz
• Leslie Marie Pena, PA-C
• Joy Pender
• Kim E Pender, DNP
• Gabriela Peraza Padron, RBT

• Physical Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.