Garrett Dierkes
Individual provider Active NPI Physical Therapist · Caldwell, OH
NPI 1164353041 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1164353041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT022413 (OH)
- Practice address
- 305 North St
Caldwell, OH 43724-1215 - Phone
- (304) 693-2178
- NPI assigned
- May 28, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
43360 Mount Carrick Rd
Woodsfield, OH 43793-9405
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022413 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022413 | OH | Yes |
Addresses
Primary practice location
305 North St
Caldwell, OH 43724-1215
Mailing address
1500 Grand Central Ave Ste 101
Vienna, WV 26105-1079
Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.