Geoffrey David Diek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1825 W Emelita Ave Ste 449
Mesa, AZ 85202-4034

Phone

(480) 933-5065

NPI assigned

Sep 25, 2006

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, TX, AZ3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Physical Therapy LLCGroup PAC ID 1355237645, 87 clinicians

Vista Physical Therapy LLCGroup PAC ID 4284010893, 18 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.

• 360 Physical Therapy, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1932430949

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Vista Physical Therapy LLC

  • Multi-Specialty Clinic/Center
  • Denton, TX
  • NPI 1699410555
  Medicare reassignment Care Compare group NPD
• Foundation Therapy Center - North Atlanta, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962460451

  Multi-Specialty

  Medicare reassignment NPD
• New South Medical Ga, PC

  • Interventional Pain Medicine Physician
  • Marietta, GA
  • NPI 1720934912
  NPD Authorized official
• Rehab Results, LLC

  • Home Health Agency
  • Atlanta, GA
  • NPI 1861763880

  Multi-Specialty

  NPD Authorized official
• 360 Physical Therapy LLC

  dba 360 Physical Therapy

  • Physical Therapist
  • Queen Creek, AZ
  • NPI 1689115164
  NPD
• Empire Rehab Ga, PC

  • Chiropractor
  • Marietta, GA
  • NPI 1194671396
  NPD
• CS Health & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Nashville, TN
  • NPI 1083996623

  Physical Therapist

  NPD (past)
• Foundation Therapy Center-Alpharetta, LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1447283635

  Multi-Specialty

  NPD (past)
• Gwinnett Clinic LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650

  Legal Medicine

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1033219159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 NORTH GLOUCESTER PLACE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411249",
            "telephone_number": "404-992-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W EMELITA AVE STE 449",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024034",
            "telephone_number": "480-933-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4145 North Gloucester Place",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411249",
            "country_code": "US",
            "telephone_number": "404-992-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEK",
        "first_name": "GEOFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "PT005701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "PT005701",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaneylin Dickson, SLPA
• Tanner Stefan Dictter
• Haley Tricia Lynn Didelotte, CCC-SLP
• Kevan Didier, OTD
• Gregory G Diede
• Delani Rose Dietrich
• Dorota Maria Dietz, PA-C
• Anthony Michael Digeorge, M.D.
• Digestive Disease Consultants PC
• Tajia Noelle Diggs, LCSW

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.