Active NPI
Elizabeth Diaz, DPT
- Physical Therapist
- Cutler Bay, FL
National Provider Identifier
1811366537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40503
- Practice address
- 8410 SW 202ND St
Cutler Bay, FL 33189-2036 - Phone
- (305) 300-6936
- Fax
- (305) 402-2433
- NPI assigned
- Sep 23, 2015
- Sex
- Female
- 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 Therapist | 225100000X | PT40503 | FL | Primary |
Addresses
Primary practice location
8410 SW 202ND St
Cutler Bay, FL 33189-2036
Mailing address
8742 SW 213TH Ter
Cutler Bay, FL 33189-7303
Phone (786) 623-7915
Other practice location 1
13366 SW 288th St
Homestead, FL 33033-1927
Phone (786) 447-2132
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 |
|---|---|---|---|
| PT40503 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Quality Life Therapy Corp | Multi-Specialty | Current | Accepting new patients |
| Sunshine Place Therapy Services | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1811366537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8742 SW 213TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331897303",
"telephone_number": "786-623-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 SW 202ND ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331892036",
"telephone_number": "305-300-6936",
"fax_number": "305-402-2433"
}
],
"practiceLocations": [
{
"address_1": "13366 SW 288th St",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330331927",
"country_code": "US",
"telephone_number": "786-447-2132",
"fax_number": "786-870-1717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.