Alissa Diaz, MOT/LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

349344 Issued in LA

Practice address

670 Albemarle Dr Ste 1100
Shreveport, LA 71106-5947

Phone

(318) 828-1450

Fax

(318) 828-2697

NPI assigned

Oct 1, 2025

Sex

Female

Sole proprietor

No

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

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function First Physical Therapy, LLCGroup PAC ID 2961763768, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Function First Physical Therapy, LLC

  • Geriatric Physical Therapist
  • Shreveport, LA
  • NPI 1114430071

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1124992383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065947",
            "telephone_number": "318-828-1450",
            "fax_number": "318-828-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065947",
            "telephone_number": "318-828-1450",
            "fax_number": "318-828-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Airline Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113270",
            "country_code": "US",
            "telephone_number": "318-828-1450",
            "fax_number": "318-828-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALISSA",
        "credential": "MOT/LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "349344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Diamond Solace Psychiatric Services
• Diamond Transport Services LLC
• Christopher Diamond
• Edgar Diaz, MD
• Erin Jackson Dicharry, PA
• Penny Knight Dickens, RPH
• Ardesia Dickerson
• Cassandra Dickerson

• Occupational Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.