Individual provider Active NPI

Diana Echavarria, PT

  • Physical Therapist
  • Deltona, FL
National Provider Identifier
1538779889
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35778 Issued in FL
Practice address
1945 Eden Dr
Deltona, FL 32725-3748
Phone
(386) 456-8477
NPI assigned
Aug 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35778 FL Primary

Addresses

Primary practice location

1945 Eden Dr
Deltona, FL 32725-3748

Mailing address

1945 Eden Dr
Deltona, FL 32725-3748
Phone (386) 456-8477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120003236 FL Practitioner - Physical Therapist in Private Practice 7810301553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Now Sanford LLCGroup PAC ID 9739582602, 2 clinicians

Practice addresses (Care Compare)

241 Bellagio Cir
Sanford, FL 32771-5001
Phone (407) 547-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35778FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Now Sanford LLC Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
MD Total Health Centers Inc Physical Therapist CurrentSince Apr 7, 2022 Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist PastSince Oct 21, 2020 Accepting new patients

Locations

500 N Semoran Blvd
Ste 101
Orlando, FL 32807
Phone (407) 815-6555

241 Bellagio Cir
Sanford, FL 32771
Phone (407) 547-1700

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1538779889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 EDEN DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253748",
            "telephone_number": "386-456-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 EDEN DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253748",
            "telephone_number": "386-456-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAVARRIA",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.