Individual provider Active NPI

Martha M Diaz, OTR

  • Occupational Therapist
  • Grasonville, MD
National Provider Identifier
1316069842
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05681 Issued in MD
Practice address
303 Narnia Dr S
Grasonville, MD 21638-1300
Phone
(443) 848-1079
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05681 MD Primary

Addresses

Primary practice location

303 Narnia Dr S
Grasonville, MD 21638-1300

Mailing address

303 Narnia Dr S
Grasonville, MD 21638-1300
Phone (443) 848-1079

Other practice location 1

551 W Lancaster Ave
Haverford, PA 19041-1419
Phone (610) 525-4000

Other names 1

  • Martha M Diaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05681MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1316069842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NARNIA DR S",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381300",
            "telephone_number": "443-848-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NARNIA DR S",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381300",
            "telephone_number": "443-848-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411419",
            "country_code": "US",
            "telephone_number": "610-525-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARTHA",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "DIAZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.