Alyssa Nicole Diaz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2178755 Issued in TX

Practice address

5401 La Crosse Ave Ste 101
Austin, TX 78739-2160

Phone

(512) 852-8134

Fax

(512) 852-8143

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Spero Rehabilitation LLC

  • Physical Therapist
  • Katy, TX
  • NPI 1720227788
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1861275810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ESTANCIA PKWY APT 336",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482446",
            "telephone_number": "254-258-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LA CROSSE AVE STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392160",
            "telephone_number": "512-852-8134",
            "fax_number": "512-852-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2178755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diaz Donjuan
• Martha Patricia Diaz Marin
• Francisco Javier Diaz Viera, MD
• Carlos Alberto Diaz-Laboy, DMD
• Adrienne Diaz, LCSW
• Candice Lee Diaz
• Carina Diaz
• Carlos A Diaz, DDS
• Diego A Diaz
• Esmirna Diaz

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.