Michelle Diaz-Collins, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11714 Issued in MA

Practice address

1 Stiles Rd Ste 203
Salem, NH 03079-4804

Phone

(855) 390-7774

Fax

(855) 734-2274

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Physiocare Inc

  • Physical Therapy Clinic/Center
  • Jupiter, FL
  • NPI 1396753026
  NPD (past)
• Rehabclinics Galaxy Inc

  • Physical Therapy Clinic/Center
  • Greenfield, WI
  • NPI 1447250006
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1467659870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PLEASANT VALLEY ST APT 190B2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794804",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-COLLINS",
        "first_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016222",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPL PT LICENSE",
            "identifier": "11714",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT STATE LICENSE",
            "identifier": "3840",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derry Sports & Rehab LLC
• Laurie Tucker Descheneaux, PT, DPT
• Pamela Desjardins, PT
• Nancy Desouza, PT
• Sushmita Dhakal-Karki, PHARMD
• Suzanne Dibble, OTRL
• James F Dickerson, DMD
• Dawn Dickson
• Ednita Dilag
• Megan Dimambro, PT

• Physical Therapist in Salem, NH
• Providers in Salem, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.