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

Mr. Jonathan Martin Diaz

Individual provider Physical Therapy Assistant · NPI 1063129237

Mr. Jonathan Martin Diaz is a Physical Therapist in Private Practice in Boonton, New Jersey. Qualified in 2020, 6 years ago. Practices with Kayal Medical Group, LLC, a 77-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2022
Specialties on file
2

Practice location Address checks out

315 Wootton St Ste J
Boonton, NJ 07005-1900
Phone: (973) 794-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 E Passaic St, Maywood, NJ 07607-1342 — (201) 880-7787

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00378400 (NJ)
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1063129237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address71 Mountain Ave, Haledon, NJ 07508-1666

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kayal Medical Group, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boonton