Active NPI
Emily Cristina Diaz, DPT
- Physical Therapist
- Mountain View, CA
National Provider Identifier
1033728456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-6808
- Practice address
- 305 South Dr Ste 5
Mountain View, CA 94040-4207 - Phone
- (650) 282-5554
- Fax
- (650) 282-5530
- NPI assigned
- Jul 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-6808 | ID | Primary |
Addresses
Primary practice location
305 South Dr Ste 5
Mountain View, CA 94040-4207
Mailing address
305 South Dr Ste 5
Mountain View, CA 94040-4207
Phone (650) 282-5554
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-6808 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1033728456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SOUTH DR STE 5",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404207",
"telephone_number": "650-282-5554",
"fax_number": "650-282-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SOUTH DR STE 5",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404207",
"telephone_number": "650-282-5554",
"fax_number": "650-282-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "EMILY",
"middle_name": "CRISTINA",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-6808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.