Lorraine M Diaz, RPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

002268 Issued in CT

Practice address

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622

Phone

(203) 734-7900

Fax

(203) 513-3269

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1528148244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "002268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "080002268CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory S Destefano, APRN
• Developmental Disability Counseling Services
• Daniel Di Bartolo
• Dianon Systems, Inc
• Hailey Diaz
• Donald Dib, D.M.D.
• Thomas J Dibartholomeo, M.D
• Sandra Dickens
• John Joseph Digiacomo, MSN, FNP-BC, APRN
• Diane Dimauro, PT

• Orthopedic Physical Therapist in Shelton, CT
• Providers in Shelton, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.