Search › New Jersey › Physical Therapy Assistant
Jonathan Diaz
NPI 1063129237 · on the registry since 2022
Practice
- Address
- 315 Wootton St Ste J
Boonton, NJ 07005 - Phone
- (973) 794-6040
- Organisation at this address
- Four 3 Performance Laboratory Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 119 E Passaic St, Maywood, NJ
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Also registered as
- Physical Therapy Assistant
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey