Diy Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIY PHYSICAL THERAPY LLC

Practice address

382 NE 191St St Ste 381172
Miami, FL 33179-3899

Phone

(877) 797-1532

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Todd Ball, PT

Title

Clinical Manager

Phone

(904) 788-6458

Specialties & licenses 1

Addresses

Other names 1

• DIY Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1679357693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320852013",
            "telephone_number": "877-797-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST STE 381172",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "877-797-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "904-788-6458",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIY Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharese Ameka Dixon-Banks, DNAP, CRNA
• Courtney Elizabeth Dixon, DC
• Ikara Dixon
• Sapphire Dixon, M.A., BCBA
• Sash-Nicole Samantha Dixon
• Randa Djabri, OD
• Behnam Djahed, M.D.
• Anael Djaker, PA-C
• Sophie Alicia Djeng Dietz
• DK & J Medical Equipment, Corp

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.