Active NPI
Erik Rafael Diaz, PT, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1780069872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30552
- Practice address
- 7940 Via Dellagio Way
Suite 142
Orlando, FL 32819-5400 - Phone
- (407) 745-4633
- NPI assigned
- Jul 30, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 30552 | FL | Primary |
Addresses
Primary practice location
7940 Via Dellagio Way
Suite 142
Orlando, FL 32819-5400
Mailing address
7940 Via Dellagio Way
Suite 142
Orlando, FL 32819-5400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30552 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1780069872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 VIA DELLAGIO WAY",
"address_2": "SUITE 142",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 VIA DELLAGIO WAY",
"address_2": "SUITE 142",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195400",
"telephone_number": "407-745-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ERIK",
"middle_name": "RAFAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 30552",
"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 Jan 30, 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.