Active NPI
Lidisys Diaz, MS, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1528307691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15578
- Practice address
- 14291 SW 120TH St
Suite #103
Miami, FL 33186-7286 - Phone
- (305) 385-0168
- Fax
- (305) 385-0182
- NPI assigned
- Feb 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT15578 | FL | Primary |
Addresses
Primary practice location
14291 SW 120TH St
Suite #103
Miami, FL 33186-7286
Mailing address
14291 SW 120TH St
Suite #103
Miami, FL 33186-7286
Phone (305) 385-0168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT15578 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1528307691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14291 SW 120TH ST",
"address_2": "SUITE #103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867286",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14291 SW 120TH ST",
"address_2": "SUITE #103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331867286",
"telephone_number": "305-385-0168",
"fax_number": "305-385-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LIDISYS",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.