Individual provider Active NPI

Thomas Deaza, MSPT

  • Pediatric Physical Therapist
  • Miami, FL
National Provider Identifier
1518066901
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT-18830 Issued in FL
Practice address
11252 SW 152ND PL
Miami, FL 33196-4369
Phone
(305) 388-7702
Fax
(305) 260-9764
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT-18830 FL Primary

Addresses

Primary practice location

11252 SW 152ND PL
Miami, FL 33196-4369

Mailing address

5760 SW 11TH St
West Miami, FL 33144-5108
Phone (305) 215-8084

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-18830FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Rehab Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518066901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 SW 11TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445108",
            "telephone_number": "305-215-8084",
            "fax_number": "305-260-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11252 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964369",
            "telephone_number": "305-388-7702",
            "fax_number": "305-260-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAZA",
        "first_name": "THOMAS",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT-18830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.