Individual provider Active NPI

Christian M Diaz, PT, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1457788754
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT022736 Issued in PA
Practice address
2311 Cottman Ave
Philadelphia, PA 19149-1007
Phone
(215) 331-3414
NPI assigned
Oct 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT022736 PA Primary

Addresses

Primary practice location

2311 Cottman Ave
Philadelphia, PA 19149-1007

Mailing address

304 McKean St
Philadelphia, PA 19148-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140228000148 PA Practitioner - Physical Therapist in Private Practice 4082844634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

3300 Tillman Dr
FL 2
Bensalem, PA 19020-2071
Phone (215) 642-6900

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022736PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Single Specialty CurrentSince Dec 1, 2013 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopedic CurrentSince Dec 1, 2013 Accepting new patients

Locations

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

234 Mall Blvd
Ste G30
King of Prussia, PA 19406
Phone (267) 339-3647

1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000

9501 Roosevelt Blvd
Fl 4
Philadelphia, PA 19114
Phone (215) 992-4975

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1457788754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491007",
            "telephone_number": "215-331-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CHRISTIAN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT022736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.