Active NPI
Jose Dausel Diaz Sr., PTA
- Physical Therapy Assistant
- Cutler Bay, FL
National Provider Identifier
1871045286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27160
- Practice address
- 9800 Bahama Dr
Cutler Bay, FL 33189-1557 - Phone
- (305) 283-1529
- Fax
- (786) 227-6211
- NPI assigned
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PTA27160 | FL | Primary |
Addresses
Primary practice location
9800 Bahama Dr
Cutler Bay, FL 33189-1557
Mailing address
9800 Bahama Dr
Cutler Bay, FL 33189-1557
Phone (305) 283-1529
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 |
|---|---|---|---|
| PTA27160 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1871045286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 BAHAMA DR",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891557",
"telephone_number": "305-283-1529",
"fax_number": "786-227-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 BAHAMA DR",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331891557",
"telephone_number": "305-283-1529",
"fax_number": "786-227-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JOSE",
"middle_name": "DAUSEL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA27160",
"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 Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.