Paul Diaz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61162860 Issued in WA

Practice address

1017 4TH Ave E
Olympia, WA 98506-4016

Phone

(360) 539-7726

NPI assigned

May 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Home Society

  • Adolescent and Children Mental Health Clinic/Center
  • Wenatchee, WA
  • NPI 1376056796
  NPD (past)
• Children'S Home Society of Washington

  • Community/Behavioral Health Agency
  • Wenatchee, WA
  • NPI 1174601611
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1174970362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064016",
            "telephone_number": "360-539-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064016",
            "telephone_number": "360-539-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Walla Walla Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "98801",
            "country_code": "US",
            "telephone_number": "509-663-0034",
            "fax_number": "509-663-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PAUL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60630674",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61162860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1017 4th Ave E",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985064016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Hudson Counseling
• Amy Marie Diaz, RN, ARNP, FNP-C
• Bethany Diaz
• Erity Elizabeth Diaz
• Maria Milagros Diaz, M.D.
• Richard Pasion Diaz, HM61304379
• Vanessa Diaz, LMFT
• Zofia Dice-Cholodzinski, PHARMD
• Laurel A Dickason, MD
• Corinne Dickinson

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.