BERTHA DIAZ (NPI# 1740720556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740720556 |
| Entity Type | Individual |
| Full Name | BERTHA DIAZ |
| Practice Address |
530 Ne 15th Ct Apt. 5 Fort Lauderdale FL 33304-1166 |
| Practice Telephone | 7864888739 |
| Mailing Telephone | 7864888739 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134487325 | Bertha Diaz | Dental Assistant | 160 Capp St, San Francisco, CA 94110-1210 | 2012-04-25 |
| 1003023698 | Bertha Alicia Diaz | Marriage & Family Therapist | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2007-05-16 |
| Street Address |
530 NE 15TH CT APT. 5 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017618 | Greg Penny | Recreation Therapist | 6555 Nw 9th Ave, Suite 112, Fort Lauderdale, FL 33309-2067 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971762 | Maribel Delia Bracke | Recreation Therapist | 1601 Sw Archer Rd # 117c, Gainesville, FL 32608-1135 | 2020-08-03 |
| 1326656760 | Alyssa Kociba | Recreation Therapist | 13000 Bruce B Downs Blvd # 117, Tampa, FL 33612-4745 | 2020-07-22 |
| 1629698048 | Marianne Kocur | Recreation Therapist | 509 Falls of Venice Cir, Venice, FL 34292-3946 | 2020-04-26 |
| 1689200214 | Tracy Eckert | Recreation Therapist | 1332 Pasadena Ave S Apt 408, S Pasadena, FL 33707-3747 | 2020-03-15 |
| 1922633700 | Susan Mccool | Recreation Therapist | 125 Ne Camelia Way, Madison, FL 32340-4158 | 2020-03-11 |
| 1891342101 | Stefan C.m. Wickli | Recreation Therapist | 1810 Nw 23rd Blvd Apt 263, Gainesville, FL 32605-3062 | 2019-08-21 |
| 1518462019 | Melina Margarita Rojas | Recreation Therapist | 10444 Nw 8th St Apt 104, Pembroke Pines, FL 33026-5982 | 2018-03-27 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1649630286 | Kelly Lauren Krazit | Recreation Therapist | 4961 Se 17th St, Ocala, FL 34471-5735 | 2016-02-24 |
| 1134588924 | Matthew Evers | Recreation Therapist | 3383 Aqua Ridge Way, Tallahassee, FL 32309 | 2016-02-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.