Eileen Reilly Diaz, P.T., R.N.
Individual provider Active NPI Physical Therapist · Upper Montclair, NJ
NPI 1376710012 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1376710012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA00498800 (NJ)
- Practice address
- 51 Oakwood Ave
Upper Montclair, NJ 07043-1916 - Phone
- (973) 744-1680
- Fax
- (973) 655-0971
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00498800 | NJ | Yes |
| Human Factors Physical Therapist | 2251H1300X | 40QA00498800 | NJ |
Addresses
Primary practice location
51 Oakwood Ave
Upper Montclair, NJ 07043-1916
Mailing address
51 Oakwood Ave
Upper Montclair, NJ 07043-1916
Phone (973) 744-1680
Other providers in Upper Montclair, NJ
- Maria Rosario De Leon
- Karyn Debalfo-Ambrosio
- Janice Ellen Delorenzo
- Anthony Thomas Delzotto
- Ernest Joseph Desalvo
- Peter Diskin
- Mihaela Dranoff
- Randi Marie Elia
- Elizabeth a. Cieri, Psy.D. Co
- Elizabeth a. Cieri, Psy.D. Co
All providers in Upper Montclair, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.