Active NPI
Iris Margarita Diaz, P.T.
- Physical Therapist
- Naples, FL
National Provider Identifier
1760564603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2913
- Practice address
- 2129 River Reach Dr
Apt. 537
Naples, FL 34104-7926 - Phone
- (239) 643-7950
- Fax
- (239) 643-7950
- NPI assigned
- Oct 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2913 | FL | Primary |
| Physical Therapist | 225100000X | 322 | PR | |
| Physical Therapist | 225100000X | 006153 | GA |
Addresses
Primary practice location
2129 River Reach Dr
Apt. 537
Naples, FL 34104-7926
Mailing address
2129 River Reach Dr
Apt. 537
Naples, FL 34104-6965
Phone (239) 643-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y7234 | Other | FL | BLUE CROSS/BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006153 | GA | MD | Chiropractor |
| 2913 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760564603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 RIVER REACH DR",
"address_2": "APT. 537",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046965",
"telephone_number": "239-643-7950",
"fax_number": "239-643-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 RIVER REACH DR",
"address_2": "APT. 537",
"city": "NAPLES",
"state": "FL",
"postal_code": "341047926",
"telephone_number": "239-643-7950",
"fax_number": "239-643-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "IRIS",
"middle_name": "MARGARITA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "2913",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "322",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "006153",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Y7234",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.