Individual provider Active NPI

Frank Joseph Dimaggio, PT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1659629715
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0002323 Issued in FL
Practice address
2631 E Oakland Park Blvd
Suite 104
Fort Lauderdale, FL 33306-1657
Phone
(954) 537-5558
Fax
(954) 537-7997
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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 PT0002323 FL Primary

Addresses

Primary practice location

2631 E Oakland Park Blvd
Suite 104
Fort Lauderdale, FL 33306-1657

Mailing address

2631 E Oakland Park Blvd
Suite 104
Fort Lauderdale, FL 33306-1657
Phone (954) 537-5558

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0002323FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael I Cohen D.C., P.a. CurrentSince Aug 29, 2012 Accepting new patients

Locations

2631 E Oakland Park Blvd
Ste 104
Ft Lauderdale, FL 33306
Phone (954) 537-5558

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, 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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1659629715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "address_2": "SUITE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061657",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "address_2": "SUITE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061657",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "FRANK",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0002323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.