Active NPI
Christian M Diaz, PT, DPT
- Orthopedic Physical Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT022736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
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
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 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022736 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Single Specialty | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Orthopedic | Current | 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.
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
Single Specialty
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Orthopedic
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.