MRS. DAWN MARIE AGNESE DIAZ PT
NPI 1679774921
Physical Therapist - Pediatrics in Lake Ronkonkoma, NY

Q: What is Dawn Agnese Diaz's NPI number?

The NPI number for Dawn Agnese Diaz is 1679774921. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Dawn Agnese Diaz's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Agnese Diaz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2007

137 FOSTER RD, LAKE RONKONKOMA, NY 11779(631) 588-0104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Dawn Marie Agnese Diaz Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DAWN MARIE AGNESE DIAZ PT (NPI 1679774921) is an individual pediatrics provider in Lake Ronkonkoma, New York, licensed in New York (020827) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679774921

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. DAWN MARIE AGNESE DIAZCredential: PT

Location Address137 FOSTER RDLake Ronkonkoma, NY 11779-4310

Mailing Address137 Foster RdLake Ronkonkoma, NY 11779-4310 · (631) 588-0104

Phone(631) 588-0104

Sole ProprietorYes

Enumeration DateMay 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679774921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in NY · 020827

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

137 FOSTER RD, Lake Ronkonkoma, NY 11779

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Agnese Diaz's NPI number?

The NPI number for Dawn Agnese Diaz is 1679774921. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Dawn Agnese Diaz located?

Dawn Agnese Diaz practices at 137 Foster Rd, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-0104.

What is Dawn Agnese Diaz's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Dawn Agnese Diaz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.