Magdalena Mulhall Dietzgen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9018 Issued in NC

Practice address

4526 Fountain Dr
Wilmington, NC 28403-2918

Phone

(910) 763-3522

Fax

(910) 763-3521

NPI assigned

Mar 29, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Velocity Physical Therapy,LLC

  • Physical Therapist
  • Wilmington, NC
  • NPI 1295178424
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1336268267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 FOUNTAIN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032918",
            "telephone_number": "910-763-3522",
            "fax_number": "910-763-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FOUNTAIN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032918",
            "telephone_number": "910-763-3522",
            "fax_number": "910-763-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZGEN",
        "first_name": "MAGDALENA",
        "middle_name": "MULHALL",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Dickson
• Nancy Stewart McLendon Dickson, PA-C
• Sonya Didomenico-Young, DC
• Benjamin Diehl
• Sarah Dietz, PSYD
• Walter Dietzgen, M.D.
• Mandy L Difelice
• Alyssa Bertolino Diggan, OTR/L
• Brianna Florence Digilio, M.A., BCBA
• Sasha Coefield Digiovanni, RD

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.