Individual provider Active NPI

Diego Armando Diaz

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1730694753
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35890 Issued in FL
Practice address
14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106
Phone
(407) 857-6285
NPI assigned
Dec 13, 2017
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042935 NY
Physical Therapist 225100000X PT35890 FL Primary

Addresses

Primary practice location

14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106

Mailing address

9126 Venezia Plantation Dr
Orlando, FL 32829-8111
Phone (908) 422-9156

Other practice location 1

4277 65th Pl
Woodside, NY 11377
Phone (718) 429-2000

Other practice location 2

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439
Phone (800) 378-7597

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

State licenses

LicenseStateTypeSpecialty
PT35890FLMDPhysical Therapist
042935NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Speech and Language Therapy, Inc. Physical 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, 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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1730694753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 VENEZIA PLANTATION DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298111",
            "telephone_number": "908-422-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 TOWN LOOP BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376106",
            "telephone_number": "407-857-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4277 65th Pl",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "11377",
            "country_code": "US",
            "telephone_number": "718-429-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Central Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414439",
            "country_code": "US",
            "telephone_number": "800-378-7597",
            "fax_number": "877-399-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DIEGO",
        "middle_name": "ARMANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042935",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.