National Provider Identifier

Anthony James Diaz, DPT

Anthony James Diaz, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Medina, NY and a listed phone number of (585) 798-4344.

NPI 1508802240Medina, NYPhysical Therapist

Profile Overview

NPI
1508802240
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 21, 2006
Last Updated
December 03, 2009

Practice Location

  • 711 Park Ave
  • Medina, NY 14103

Phone: (585) 798-4344

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1508802240
Entity Type
Individual
Last Name
Diaz
First Name
Anthony
Middle Name
James
Name Prefix
Mr.
Credential
DPT
Mailing Street Address
711 Park Ave
Mailing City
Medina
Mailing State
NY
Mailing ZIP Code
14103
Mailing Country
US
Mailing Phone
(585) 798-4344
Mailing Fax
(585) 798-0439
Practice Street Address
711 Park Ave
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103
Practice Country
US
Practice Phone
(585) 798-4344
Practice Fax
(585) 798-0439
Enumeration Date
June 21, 2006
Last Updated
December 03, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
000625923004 (Community Blue), 205707500 (Acs Dol), 00021030201 (Univera), 0205821 (License), 040511000802 (Fidelis), 7362441 (Aetna), 00210030201 (Univera), 02243158 (NY), 9310818 (Independent Health), P010020582 (Ripa), 000625923003 (Community Blue)