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

Fidel Jose Diaz, OTR/L

Individual provider Occupational Therapist · NPI 1790639318

Fidel Jose Diaz, OTR/L is an Occupational Therapist in Paterson, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2026
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

515 14th Ave
Paterson, NJ 07504-2283
Phone: (215) 982-0524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 N Hancock St Apt 303, Philadelphia, PA 19123-2329 — (215) 982-0524

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC019648 (PA)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR01079900 (NJ)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OC019648 (PA)

Record details

NPI number1790639318
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 21, 2026
Last updated in NPPESFebruary 21, 2026
Certification dateFebruary 21, 2026

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