Deanna Claire Diaz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH12126 Issued in AL

Practice address

205 Country Club Park
Mountain BRK, AL 35213-4237

Phone

(205) 871-0777

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By the provider in NPPES

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 AL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy South and Sports Medicine

  • Physical Therapist
  • Hoover, AL
  • NPI 1841388733
  Medicare reassignment NPD
• Therapy South Mountain Brook

  • Physical Therapist
  • Birmingham, AL
  • NPI 1699910505
  Medicare reassignment NPD

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1255140778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COUNTRY CLUB PARK",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134237",
            "telephone_number": "205-871-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DEANNA",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Offices of R Gordon Henry DDS PC (Alexander Dentistry)
• Derm Meds (Village Pharmacy)
• Dermlab, LLC
• Destiny Therapeutic Solutions
• Jennifer W Devilleneuve, CRNP
• Jerri Jarrard Dobelstein
• C.Calvert Dodson III, M.D.
• Kathryn Elizabeth Dorsten
• Samuel Lessley Ardis Douglas, M.D.
• Dr James H Blanton MD

• Physical Therapist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.