Austin Dean Diederich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1107150 Issued in KS

Practice address

708 N 18TH St
Marysville, KS 66508-1338

Phone

(785) 562-4480

NPI assigned

Sep 30, 2018

Last updated

Feb 25, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crist and Pieschl Rehabilitation, P.a.Group PAC ID 0042737249, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Crist & Pieschl Rehabilitation, P.a.

  • Physical Therapist
  • Washington, KS
  • NPI 1053123422
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1265917827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N 18TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081338",
            "telephone_number": "785-562-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N 18TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081338",
            "telephone_number": "785-562-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDERICH",
        "first_name": "AUSTIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Memorial Healthcare, Inc.
• County of Marshall
• Shelly Marie Crome, LMFT
• David L Hamel DDS, PA (Marysville Dental Care)
• Fernando De la Torre Ugarte, M.D.
• Mandi Diederich, PA-C
• Dr. Stanley J. Nelson
• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Charis Dunlap, PHARMD
• Steven Eshelman, MD

• Physical Therapist in Marysville, KS
• Providers in Marysville, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.