Theresa Lynn Diaz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202005643 Issued in MI

Practice address

2409 Pine Orchard Dr
Waterford, MI 48329-3970

Phone

(248) 605-5921

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1104733401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 PINE ORCHARD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293970",
            "telephone_number": "248-605-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 PINE ORCHARD DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293970",
            "telephone_number": "248-605-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202005643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Dexter, FNP-BC
• Sumi Dey, MD
• Anthony Peter Di Ponio, DO
• Dial a Doc PC
• Stacey Diamond
• John Quenith Dickey Jr., DO
• Stacey Diggs, MSP
• Jane Elizabeth Leipold Dika
• Anthony David Diloreto, PMHNP, RN
• Kacie Dimmitt

• Occupational Therapy Assistant in Waterford, MI
• Providers in Waterford, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.