Jonathan Diaz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24232 Issued in FL

Practice address

13552 NW 7TH St
Pembroke Pines, FL 33028-3140

Phone

(954) 592-1046

NPI assigned

Sep 15, 2013

Last updated

Sep 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379203200000",
    "number": "1699101246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13552 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283140",
            "telephone_number": "954-592-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283140",
            "telephone_number": "954-592-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Diaz, DO
• Erika Diaz
• Haley Diaz, PA-C
• Ivelis Diaz, RBT
• Jazmyn Nicole Diaz
• Jorge G Diaz, M.D.
• Milaidys Diaz, RBT
• Orlando Diaz, M.S., OTR/L
• Osmani Diaz, D.D.S.
• Paola Diaz

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2013; 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.