Active NPI
Amante Daniel Diego, PTA
- Physical Therapy Assistant
- Miami, FL
National Provider Identifier
1659944585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA30055
- Practice address
- 8200 SW 117TH Ave Ste 300
Miami, FL 33183-4826 - Phone
- (786) 870-5426
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA30055 | FL | Primary |
Addresses
Primary practice location
8200 SW 117TH Ave Ste 300
Miami, FL 33183-4826
Mailing address
2600 SW 116TH Ter Apt 304
Miramar, FL 33025-7576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA30055 | Other | FL | STATE OF FLORIDA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA30055 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1659944585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SW 116TH TER APT 304",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 SW 117TH AVE STE 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331834826",
"telephone_number": "786-870-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEGO",
"first_name": "AMANTE",
"middle_name": "DANIEL",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA30055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA",
"identifier": "PTA30055",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.