Lori A Diaz, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1297640 Issued in TX

Practice address

1288 W. Easterbrook Dr
Pecos, TX 79772

Phone

(432) 287-0422

NPI assigned

Sep 10, 2012

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of Reeves

  dba Reeves County Recreation Center

  • Physical Therapy Clinic/Center
  • Pecos, TX
  • NPI 1932896842

  Orthopedic

  Medicare reassignment NPD
• Reeves County Home Delivered Meals Program

  • Home Delivered Meals
  • Pecos, TX
  • NPI 1639204183
  NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1487904132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 W. EASTERBROOK DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "79772",
            "telephone_number": "432-287-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 W. EASTERBROOK DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "79772",
            "telephone_number": "432-287-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "4159",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1297640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ola Gail Caverly, M.D.
• Orville D Cerna, M.D.
• County of Reeves (Reeves County Recreation Center)
• Abigail Lauren Darnell, DO
• Deitleman Health and Wellness
• Chibuikem Samuel Dimgba, RD
• Brittney J Dye, DPT
• John Thayer Edmondson, CRNA
• Diane A Evering-Simms, M.D.
• Jerry F Giardina, CRNA

• Orthopedic Physical Therapist in Pecos, TX
• Providers in Pecos, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.