Healthcare Provider Details

I. General information

NPI: 1548041890
Provider Name (Legal Business Name): JOSEPH M AYALA PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 14TH AVE
MIAMI FL
33125-1692
US

IV. Provider business mailing address

10931 W OKEECHOBEE RD UNIT 201
HIALEAH GARDENS FL
33018-8116
US

V. Phone/Fax

Practice location:
  • Phone: 786-830-4439
  • Fax:
Mailing address:
  • Phone: 786-830-4439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA32135
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberPTA32135
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: