Annemarie Dietzen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017371 Issued in IL

Practice address

533 W North Ave
Suite 202
Elmhurst, IL 60126-2135

Phone

(630) 832-6919

Fax

(630) 832-6928

NPI assigned

Sep 3, 2009

Last updated

Feb 9, 2011By the provider in NPPES

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

Other names 1

• Annemarie Pellegrene Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Rehabilitation Clinics, Inc

  • Physical Therapy Clinic/Center
  • Oak Brook, IL
  • NPI 1356394852

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1063645216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262135",
            "telephone_number": "630-832-6919",
            "fax_number": "630-832-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE",
            "address_2": "SUITE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262135",
            "telephone_number": "630-832-6919",
            "fax_number": "630-832-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEN",
        "first_name": "ANNEMARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "PELLEGRENE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sanjiv Dhodapkar, PT, DPT
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Elmhurst)
• Diana Isela Diaz, FNP-C
• Caitlin Diedrich
• Olivia Nicole Dietrich, DMD
• Lalitha Dileep-Ansal, MD
• Kimberly Dipasqua
• Lisa Distel, PTA
• Wesley Ditchfield, DPT
• Lauren Dix

• Physical Therapist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.