Individual provider Active NPI

Elizabeth Diaz, DPT

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1811366537
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40503 Issued in FL
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

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
PT40503FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Quality Life Therapy Corp Multi-Specialty CurrentSince Aug 6, 2023 Accepting new patients
Sunshine Place Therapy Services Multi-Specialty PastSince Dec 22, 2024 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.

Verify at the official NPI Registry.