Michele Lynn Dietz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000005109 Issued in TN

Practice address

1804 Brentwood Dr
Greeneville, TN 37743-6617

Phone

(231) 730-0907

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1003485871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BRENTWOOD DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436617",
            "telephone_number": "231-730-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BRENTWOOD DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436617",
            "telephone_number": "231-730-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000005109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Shane Devoti, PT
• Karen A. Dewitt, NP
• Lawrence S. Dewitte, P.A.
• Kaitlyn Diddle
• Krislee Dee Dier
• Robert C Diez Daux, MD
• Michelle K Dilks, DO
• Dogwood Medicine and Infectious Disease PLLC
• Tammie Douthat, SLP-CCC
• Dr Mandeep Bakshi Pulmonary & Sleep Medicine

• Physical Therapy Assistant in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.