Jodi Samara Diamond, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37420 Issued in FL

Practice address

800 Village Square Crossing
Suite 118
Palm Beach Gardens, FL 33410-5483

Phone

(410) 830-0619

Fax

(561) 462-1761

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pelvic Physical Therapy of the Palm Beaches

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1407557986
  Medicare reassignment NPD Authorized official
• Pelvic Health Solutions LLC

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1407317811

  Physical Therapist

  Medicare reassignment NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1619166949",
    "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",
            "fax_number": "561-462-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VILLAGE SQUARE CROSSING",
            "address_2": "SUITE 118",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105483",
            "telephone_number": "410-830-0619",
            "fax_number": "561-462-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "JODI",
        "middle_name": "SAMARA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37420",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupesh R Dharia, M.D
• Bert Diament, PH.D.
• Diamond Behavioral Health Center PBG LLC
• Diamond Behavioral Health Center PBG LLC
• Diamond Physical Therapy, LLC
• Cecilia Vasconcelos Dias
• Daniele Vasconcelos Dias, PHARMD
• Diaz Acupuncture
• Adalys Diaz
• Brian Diaz

• 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.
• 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.