Individual ProviderJodi Samara DiamondPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address800 Village Square Crossing, Suite 118, Palm Beach Gardens, FL 33410-5483(410) 830-0619PECOS EnrollmentBased on the most recent information from CMS, provider Jodi Samara Diamond does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1619166949Provider TypeIndividualFull NameDiamond, Jodi SamaraTitleMrs.CredentialMPTGenderFemaleSole ProprietorYesEnumeration Date10/23/2007Last Updated4/24/2023Contact InformationPractice LocationPractice Address800 Village Square Crossing, Suite 118, Palm Beach Gardens, FL 33410-5483Phone(410) 830-0619Fax(561) 462-1761Mailing LocationMailing Address800 Village Square Xing Ste 118, Palm Beach Gardens, FL 33410-4540Phone(410) 830-0619Fax(561) 462-1761Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense37420FloridaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense19223Maryland