Active NPI
Xiomara I Diaz, B.SC.P.T.
- Geriatric Physical Therapist
- Fort Collins, CO
National Provider Identifier
1548606825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 4747
- Practice address
- 709 Keenesburg CT
Fort Collins, CO 80525-8270 - Phone
- (970) 412-9314
- NPI assigned
- May 14, 2013
- Last updated
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 4747 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 4747 | CO |
Addresses
Primary practice location
709 Keenesburg CT
Fort Collins, CO 80525-8270
Mailing address
709 Keenesburg CT
Fort Collins, CO 80525-8270
Phone (970) 412-9314
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covell Care and Rehabilitation, LLC | Geriatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1548606825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 KEENESBURG CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258270",
"telephone_number": "970-412-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 KEENESBURG CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258270",
"telephone_number": "970-412-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "XIOMARA",
"middle_name": "I",
"credential": "B.SC.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CO",
"license": "4747",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "4747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.