Garrett Adam Dietz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36357 Issued in FL

Practice address

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505

Phone

(813) 253-3092

Fax

(813) 259-9516

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (2 of 3)

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3420/brand/1/csg/1/fhir/r4

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.

• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1306729330

  Physical Therapist

  NPD (past)
• Burke Collins Therapy, Inc

  • Orthopedic Physical Therapist
  • Brandon, FL
  • NPI 1730295734
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1295336196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3147",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336013147",
            "telephone_number": "813-253-3092",
            "fax_number": "813-259-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-253-3092",
            "fax_number": "813-259-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "GARRETT",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "PT36357",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trang Thuy Diep
• Amanda Dieppa
• Diesel Health and Recovery, LLC.
• Amanda Cara Dietrich, M.ED. CCC-SLP
• John Dietrick III, M.D.
• Rod K Dietz, D.D.S.
• Jean V. Dieudonne, PHARM D.
• Michael Anthony Diez, DMD
• Randall Albert Diez, D.M.D.
• Jessica Difo, PA

• All providers in Tampa, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.