Michael Diaz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3894 Issued in TN

Practice address

2075 N Germantown Pkwy
Suite 108
Cordova, TN 38016-1729

Phone

(901) 246-6809

Fax

(901) 202-9088

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

• Unique Potential Network, Inc.

  • Physical Therapist
  • Cordova, TN
  • NPI 1881826352
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1376816942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 ADA CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163005",
            "telephone_number": "901-737-1483",
            "fax_number": "901-737-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 N GERMANTOWN PKWY",
            "address_2": "SUITE 108",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161729",
            "telephone_number": "901-246-6809",
            "fax_number": "901-202-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Depend on US Non-Emergency Transportation
• Dependable Transportation Services
• Rowena A Desouza, M.D.
• Detweiler Chiropractic Health Services of TN, PLLC (Mid-South Spine and Sports Performance)
• Destiny Devrow
• Dickens Psychological Services LLC
• Rachel Haley Dickens, PHD
• Kathryn McCafferty Dickerson, LCSW
• Dolores Maria Digaetano, M.D.
• Amon D Dillon

• Physical Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.