Individual provider Active NPI

Eduardo Diaz, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1104472158
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004118 Issued in DE
Practice address
1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone
(302) 655-9494
Fax
(302) 691-1478
NPI assigned
Aug 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0004118 DE Primary

Addresses

Primary practice location

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413

Mailing address

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Other practice location 1

1651 Pulaski Hwy
Bear, DE 19701-1453
Phone (302) 834-1550

Other names 1

  • Dr. Eddie Diaz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007000735 DE Practitioner - Physical Therapist in Private Practice 6002147048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Orthopaedic Associates PAGroup PAC ID 4880681485, 62 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0004118DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopaedic Associates PA CurrentSince Jan 1, 2025 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Regional Orthopaedic Associates PA CurrentSince Jan 1, 2025 Accepting new patients
Dynamic Physical Therapy Physical Therapist PastSince Aug 1, 2019 Accepting new patients

Locations

1941 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 633-3555

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1104472158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011453",
            "country_code": "US",
            "telephone_number": "302-834-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "DIAZ",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.