Active NPI
Maximilian Dyal, DPT
- Physical Therapist
- Naples, FL
National Provider Identifier
1497365795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33592
- Practice address
- 4513 Executive Dr
Naples, FL 34119-9033 - Phone
- (267) 629-9946
- NPI assigned
- Aug 3, 2020
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33592 | FL | Primary |
Addresses
Primary practice location
4513 Executive Dr
Naples, FL 34119-9033
Mailing address
4513 Executive Dr
Naples, FL 34119-9033
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1497365795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 EXECUTIVE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 EXECUTIVE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199033",
"telephone_number": "267-629-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYAL",
"first_name": "MAXIMILIAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
- Dva Renal Healthcare, Inc. (Naples Dialysis)
- Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Golden Gate, Collier Blvd)
- Doreen Kelly Dwyer, LCSW
- Nancy H. Dwyer, A.R.N.P.
- Ma Katrina Dy, M.D.
- Dorothy Kay Dycus, B.S.N. A.R.N.P.
- Diana Dyer, CNM
- Ian Dyer, APRN
- Dynamic Health Alliance
- Dynamic Physio Therapy Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.