Organization Active NPI

DTW1 LLC

  • Multi-Specialty Clinic/Center
  • Aventura, FL
National Provider Identifier
1639652852
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DTW1 LLC
Practice address
15807 Biscayne Blvd Ste 113
Aventura, FL 33160-4669
Phone
(178) 695-5691
Fax
(786) 955-6956
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Kelsey Zamoyski, OT
Title
Owner/Therapist
Phone
(786) 955-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15807 Biscayne Blvd Ste 113
Aventura, FL 33160-4669

Mailing address

15807 Biscayne Blvd Ste 113
Aventura, FL 33160-4669
Phone (178) 695-5691

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1639652852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15807 BISCAYNE BLVD STE 113",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604669",
            "telephone_number": "178-695-5691",
            "fax_number": "786-955-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15807 BISCAYNE BLVD STE 113",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604669",
            "telephone_number": "178-695-5691",
            "fax_number": "786-955-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTW1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "ZAMOYSKI",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "786-955-6912",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.