Individual provider Active NPI

Daniel David Deane, MSPT

  • Physical Therapist
  • N Miami Beach, FL
National Provider Identifier
1578540977
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20361 Issued in FL
Practice address
18339 NE 19TH Ave
N Miami Beach, FL 33179-5031
Phone
(305) 466-5665
Fax
(305) 466-8580
NPI assigned
Dec 27, 2005
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 PT20361 FL Primary

Addresses

Primary practice location

18339 NE 19TH Ave
N Miami Beach, FL 33179-5031

Mailing address

1814 NE Miami Gardens Dr
#407
N Miami Beach, FL 33179-5043
Phone (305) 466-5665

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT20361FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boynton Beach Pain & Rehabilitation Inc Past Accepting new patients
South Florida Pain & Rehab Center Inc Past Accepting new patients
South Florida Physical Therapy Associates Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1578540977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 NE MIAMI GARDENS DR",
            "address_2": "#407",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795043",
            "telephone_number": "305-466-5665",
            "fax_number": "305-466-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18339 NE 19TH AVE",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795031",
            "telephone_number": "305-466-5665",
            "fax_number": "305-466-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.