Jacob Dietz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019403 Issued in OH

Practice address

7710 Olentangy River Rd Ste 100
Columbus, OH 43235-1353

Phone

(614) 841-3900

NPI assigned

Jul 5, 2021

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Ohio State University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fitness Matters Inc.Group PAC ID 3375799919, 30 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 and National Provider Directory roles.

• Fitness Matters Inc.

  • Orthopedic Physical Therapist
  • Columbus, OH
  • NPI 1477836575
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1427629187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 VIRGINIA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123039",
            "telephone_number": "859-547-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 OLENTANGY RIVER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351353",
            "telephone_number": "614-841-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Wetherby Ln",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430814957",
            "country_code": "US",
            "telephone_number": "614-841-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1391 Dublin Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151084",
            "country_code": "US",
            "telephone_number": "614-841-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 Blacklick Eastern Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431477702",
            "country_code": "US",
            "telephone_number": "614-841-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Dieter, O.D
• Emily S Dietrich
• Katelin Dietrich
• Kathleen Dietrich, NNP
• David John Dietz, PHD
• Lynsie Nicole Dietz, LPC
• Paige Marie Rombach Dietz
• Penelope L Dietz, DDS
• Nene Dieye
• Alejandro Diez, MD

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.