Marizel Diaz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1100667 Issued in TX

Practice address

7109 N Bartlett Ave
Laredo, TX 78041-6472

Phone

(956) 727-2122

NPI assigned

Sep 13, 2007

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laredo Sports Medicine Clinic PAGroup PAC ID 4183719321, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marizel.diaz.1@28730.direct.athenahealth.com

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.

• Laredo Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Laredo, TX
  • NPI 1477675163

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy Specialists of Laredo, PLLC

  • Physical Therapy Clinic/Center
  • Laredo, TX
  • NPI 1154505717

  Physical Therapist

  NPD

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1154516904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416472",
            "telephone_number": "956-727-2122",
            "fax_number": "956-316-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416472",
            "telephone_number": "956-727-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIZEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1100667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Heriberto Diaz III, LCDC
• Adolfo Dwight Diaz, MD
• Gabriela Diaz
• Horacio Alberto Diaz, MD
• Luis Diaz, LPC
• Omar Diaz, MD
• Rebecca Diaz
• Reynaldo Diaz Jr., AGACNP-BC
• Dick B. Davenport, D.D.S., P.C.
• Diego F. Menchaca, M.D., P.a.

• Physical Therapist in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.