Individual provider Active NPI

Landon Diehl, DPT, PT

  • Physical Medicine & Rehabilitation Physician
  • Waynesboro, VA
National Provider Identifier
1245049774
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2305216857 Issued in VA
Practice address
38 Ebco Cir
Waynesboro, VA 22980-7344
Phone
(540) 490-0308
NPI assigned
Dec 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305216857 VA Primary

Addresses

Primary practice location

38 Ebco Cir
Waynesboro, VA 22980-7344

Mailing address

38 Ebco Cir
Waynesboro, VA 22980-7344
Phone (540) 490-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317001379 VA Practitioner - Physical Therapist in Private Practice 0749702066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

38 Ebco Cir
Waynesboro, VA 22980-7344
Phone (540) 591-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216857VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Valley Physical Therapy, LLC Physical Medicine & Rehabilitation CurrentSince Dec 30, 2024 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Current Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

29 Cedar Plateau Way
Daleville, VA 24083
Phone (540) 591-6060

438 Commerce Rd
Staunton, VA 24401
Phone (540) 430-4898

38 Ebco Cir
Waynesboro, VA 22980
Phone (540) 490-0308

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1245049774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EBCO CIR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-490-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EBCO CIR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229807344",
            "telephone_number": "540-490-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "LANDON",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305216857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.