Douglas R Diaz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003939 Issued in WA

Practice address

406 Central Ave S
Quincy, WA 98848-1226

Phone

(509) 787-0569

NPI assigned

Feb 23, 2009

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grant County Hospital District No. 2

  • Rural Health Clinic/Center
  • Quincy, WA
  • NPI 1407920218
  NPD (past)
• Grant County Public Hospital District 2

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, WA
  • NPI 1659445468
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2020.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1043450679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "509-765-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CENTRAL AVE S",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481226",
            "telephone_number": "509-787-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0249871",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8556276",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant L Cox, D.C.
• Vanessa Cruz, MA-C
• Kris Davis, MA
• Desert Sun Dental
• Alexandra Diaz, BSN, RN
• Jaime David Dominguez-Cespedes, MD
• Pamela Jean Duggan, MSW, LMHC
• Rebekah Marie Garfield, ARNP
• Irene Garza, MS
• Rachel Erin Gaspard, FNP-BC

• All providers in Quincy, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.