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Jonathan Martin Diaz

Physical Therapy Assistant β€’ Boonton, NJ

Active NPI 1063129237 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

315 Wootton St Ste J
Boonton, NJ 070051900

Call 9737946040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

315 Wootton St Ste J

Boonton, NJ 070051900

Telephone 9737946040
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Maywood, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Kayal Medical Group, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathan Diaz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Boonton and New Jersey

3 active clinicians are listed under Physical Therapy Assistant with a practice address in Boonton, NJ (1,013 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-14
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

License # reported to NPPES NJ 40QB00378400

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Physical Therapy Assistant

NUCC Taxonomy Code: 225200000X

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20251203004402

Enrollment State Jurisdiction

NJ

PECOS Control ID

7719355494

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kayal Medical Group, Llc

7 E Main St, Ramsey, NJ 074461922

Phone: 2015600711

Secondary Practice Locations

119 E Passaic St

Maywood, NJ 076071342

Phone: 2018807787

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Shawn Berry , PT

Physical Therapist

NPI 1063295889

Physical Therapist

Dr. William Bottino , DPT

Physical Therapist

NPI 1073720165

Doctor of Physical Therapy

John Brower

Physical Therapist

NPI 1427460963
Soleil Castro , PT

Physical Therapist

NPI 1033711320

Physical Therapist

Doria Centineo , PT

Physical Therapist

NPI 1467286328

Physical Therapist

Parker Chan

Physical Therapist

NPI 1558091751

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location September 14, 2023

Registered at 315 WOOTTON ST STE J, BOONTON, NJ 070051900 (Tel: 9737946040)

βœ…
NPI Profile Active October 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 27, 2022

Registered at 119 E PASSAIC ST, MAYWOOD, NJ 076071342 (Tel: 2018807787)

πŸ“
Business Mailing Address (Initial Record) October 27, 2022

Registered at 71 MOUNTAIN AVE, HALEDON, NJ 075081666 (Tel: 9738976496)

πŸ‘€
Provider Name / Credentials (Initial Record) October 27, 2022

Recorded as JONATHAN DIAZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2022

Physical Therapy Assistant

🟒
Initial NPI Registration & Enumeration October 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063129237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2022
Last Update: May 14, 2025
Sole Proprietor: No

Mailing Address

71 Mountain Ave

Haledon, NJ 075081666

Phone: 9738976496

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.