Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alissa Diaz, MOT/LOTR

Individual provider Occupational Therapist · NPI 1124992383

Alissa Diaz, MOT/LOTR is an Occupational Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2025, 1 year ago. Practices with Function First Physical Therapy, LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
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Practice location Address checks out

670 Albemarle Dr Ste 1100
Shreveport, LA 71106-5947
Phone: (318) 828-1450
Fax: (318) 828-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2122 Airline Dr Ste 200, Bossier City, LA 71111-3270 — (318) 828-1450

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 349344 (LA)

Record details

NPI number1124992383
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT/LOTR
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Function First Physical Therapy, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport