Joseph Dietrich, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01936200 Issued in NJ

Practice address

4911 Stelton Rd Ste 3
South Plainfield, NJ 07080-1113

Phone

(732) 572-0021

Fax

(732) 855-9755

NPI assigned

Sep 20, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1043768070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 STELTON RD STE 3",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070801113",
            "telephone_number": "732-572-0021",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Church Rd",
            "address_purpose": "LOCATION",
            "city": "Hegins",
            "state": "PA",
            "postal_code": "179389613",
            "country_code": "US",
            "telephone_number": "570-985-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "JOSEPH",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01936200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay V Deshpande, M.D.
• Arpita Dharia, OTD, OTR/L, CHT
• Jilma Patricia Dicarlo, M.D.
• Joan Dickason
• Dietitian Direct Inc
• Kathleen Dillon, RPH
• Jeremy Scott Dinkin, DC
• Doctors Care Associates, L.L.C.
• Diane Dohn, RPH
• Domiciano V. Capitly, M.D.

• Physical Therapist in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.