Individual provider Active NPI

Johanna Quiambao Dingel, R.P.T.

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1982818589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23164 Issued in FL
Practice address
4760 W. Commercial Blvd.
Ft. Lauderdale, FL 33319
Phone
(866) 608-2670
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23164 FL Primary

Addresses

Primary practice location

4760 W. Commercial Blvd.
Ft. Lauderdale, FL 33319

Mailing address

2954 Chipper Dr NE
Palm Bay, FL 32905-5705
Phone (501) 773-6689

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982818589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 CHIPPER DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055705",
            "telephone_number": "501-773-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W. COMMERCIAL BLVD.",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "866-608-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGEL",
        "first_name": "JOHANNA",
        "middle_name": "QUIAMBAO",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.