Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danny Raymond Diaz, PA-C, PT, DPT

Individual provider Physician Assistant · NPI 1194117184

Danny Raymond Diaz, PA-C, PT, DPT is a Physician Assistant in Palmetto Bay, Florida. Qualified in 2018, 8 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Florida and New Jersey.

Years since qualifying
8
Licensed in
FL, NJ
In the registry since
2015
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9333 SW 152nd St
Palmetto Bay, FL 33157-1778
Phone: (305) 251-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9111731 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9111731 (FL)
Physical Therapist Taxonomy 225100000X · Licence 40QA01595600 (NJ)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00494400 (NJ)

Record details

NPI number1194117184
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , PT , DPT
Sole proprietorYes
NPI enumeratedFebruary 27, 2015
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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