Ryan Richard Dietlein, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016312 Issued in MI

Practice address

203 Dilts Rd
Ithaca, MI 48847-9475

Phone

(989) 875-2266

Fax

(989) 875-2225

NPI assigned

May 28, 2013

Last updated

May 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midland Physical Therapy Inc.Group PAC ID 1254390727, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midland Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1629181920

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ithaca Physical Therapy, Inc

  • Physical Therapist
  • Ithaca, MI
  • NPI 1316321052
  NPD
• James Randolph Tilton

  dba Ithaca Physical Therapy, LLC

  • Physical Therapist
  • Ithaca, MI
  • NPI 1952326753
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1003253352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DILTS RD",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488479475",
            "telephone_number": "989-875-2266",
            "fax_number": "989-875-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 DILTS RD",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488479475",
            "telephone_number": "989-875-2266",
            "fax_number": "989-875-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETLEIN",
        "first_name": "RYAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501016312",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bray, LLC, CNA, DOULA
• Alex Sean Catlin, DPT
• Catherine Marie Chimo, PA
• Daily Living Homecare, Inc.
• Darren M Riopelle DDS
• Donald G Prouty (Ithaca Family Practice)
• Donald G Prouty (Ithaca Family Practice)
• Nina Sue Draper, RN
• Edward Lewis MD PC
• Kourtney Eichorn

• Physical Therapist in Ithaca, MI
• Providers in Ithaca, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.