Jessica M Diaz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10710 Issued in FL

Practice address

2007 NE 40TH Rd
Homestead, FL 33033-5122

Phone

(786) 525-3418

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  Occupational Therapist

  NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947

  Occupational Therapist

  NPD
• Dynamic Pediatric Therapy, Inc.

  dba Dynamic Therapy

  • Contractor
  • Homestead, FL
  • NPI 1083916787

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1780808758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SE 35TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337503",
            "telephone_number": "305-331-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 NE 40TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335122",
            "telephone_number": "786-525-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888368800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Diaz
• Grisel Diaz
• Irania Diaz, BEHAVIOR TECHNICIAN
• Jenidiss E Diaz
• Jennifer Diaz
• Leslie Diaz
• Lionel Diaz, MD
• Madelin Diaz
• Maikel Diaz
• Mayeline Diaz

• Occupational Therapist in Homestead, FL
• Providers in Homestead, FL by specialty
• Occupational Therapist in Florida

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