Individual provider Active NPI

Daina Toca Cruz, OTR/L

  • Physical Medicine & Rehabilitation Physician
  • Weymouth, MA
National Provider Identifier
1053373647
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
847 Issued in PR
Practice address
72 Circuit Rd
PD-12 Encantada
Weymouth, MA 02190-2606
Phone
(781) 985-6943
Fax
(787) 748-7191
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 847 PR Primary

Addresses

Primary practice location

72 Circuit Rd
PD-12 Encantada
Weymouth, MA 02190-2606

Mailing address

72 Circuit Rd
Weymouth, MA 02190-2606
Phone (781) 985-6943

Other identifiers 1

IdentifierTypeStateIssuer
9522OtherMAMA- OT LICENSED

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

LicenseStateTypeSpecialty
847PRMDRehabilitation Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1053373647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CIRCUIT RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902606",
            "telephone_number": "781-985-6943",
            "fax_number": "787-748-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CIRCUIT RD",
            "address_2": "PD-12 ENCANTADA",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902606",
            "telephone_number": "781-985-6943",
            "fax_number": "787-748-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCA CRUZ",
        "first_name": "DAINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA- OT LICENSED",
            "identifier": "9522",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.