Reuben Zeth Diaz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2143206 Issued in TX

Practice address

305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053

Phone

(817) 292-8787

Fax

(817) 789-6849

NPI assigned

Oct 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1992303192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 OLD GLORY AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536334",
            "telephone_number": "210-954-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 820",
            "address_2": "BUSINESS TOWER 1, SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "REUBEN",
        "middle_name": "ZETH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2143206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "305 NE Loop 820",
            "address_2": "Business Tower 1, Suite 200",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DFW Integrative Rehabilitation
• DFW Psychological & Consulting Services, Inc.
• Diagnostex Consultants PLLC
• Diagnostic Health Centers of Texas Limited Partnership
• David Diaz, LMSW
• Dignified Homecare for Seniors LLC
• Jeremy Thomas Diver, PA-C
• Donald Francis DDS, PC
• Jennifer P Donlon, M.A. CCC-SLP
• Dorac Hearts Home Healthcare and Training Services

• Physical Therapy Assistant in Hurst, TX
• Providers in Hurst, 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 Oct 12, 2020; 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.