| Dtw1 Llc | |
|
15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 | |
| (178) 695-5691 | |
| (786) 955-6956 |
| Full Name | Dtw1 Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15807 Biscayne Blvd Ste 113, Aventura, Florida |
| Authorized Official Name and Position | Kelsey Zamoyski (OWNER/THERAPIST) |
| Authorized Official Contact | 7869556912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtw1 Llc 15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 Ph: (178) 695-5691 | Dtw1 Llc 15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 Ph: (178) 695-5691 |
| NPI Number | 1639652852 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Medicare PECOS PAC ID | 5597008797 |
|---|---|
| Medicare Enrollment ID | O20190509001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639652852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kelsey A Zamoyski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699054015 PECOS PAC ID: 7517100605 Enrollment ID: I20130820001045 |
| Provider Name | Tara Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811368160 PECOS PAC ID: 7416267356 Enrollment ID: I20190509002070 |
| Provider Name | Darlenzy Darbouze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770800880 PECOS PAC ID: 8628264058 Enrollment ID: I20220818000769 |
| Provider Name | Benjamin Petrolati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356043376 PECOS PAC ID: 0941674196 Enrollment ID: I20230329003417 |
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