Active NPI
Felix Robert Diaz, P.T.
- Physical Therapist
- Whitestone, NY
National Provider Identifier
1942339585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012082-1
- Practice address
- 15012 14TH Ave
LL1
Whitestone, NY 11357-1800 - Phone
- (718) 746-8757
- Fax
- (718) 746-3069
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 012082-1 | NY | Primary |
Addresses
Primary practice location
15012 14TH Ave
LL1
Whitestone, NY 11357-1800
Mailing address
15012 14TH Ave
LL1
Whitestone, NY 11357-1800
Phone (718) 746-8757
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 |
|---|---|---|---|
| 012082-1 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942339585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15012 14TH AVE",
"address_2": "LL1",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571800",
"telephone_number": "718-746-8757",
"fax_number": "718-746-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15012 14TH AVE",
"address_2": "LL1",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571800",
"telephone_number": "718-746-8757",
"fax_number": "718-746-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "FELIX",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012082-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.