Camryn Joanna Diebold, PT, DPT
Individual provider Active NPI Physical Therapist · Edgewood, KY
NPI 1497433387 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1497433387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 008782 (KY)
- Practice address
- 560 S Loop Rd
Edgewood, KY 41017-3405 - Phone
- (859) 301-2663
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthocincy Orthopaedics and Sports Medicine PSC
Practice addresses (Care Compare)
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725002258 | KY | Practitioner - Physical Therapist in Private Practice | 0345601266 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocincy Orthopaedics & Sports Medicine PSC | Physical Therapist | Current |
Accepting new patients |
| Orthocincy Orthopaedics & Sports Medicine PSC | Physical Therapist | Current |
Accepting new patients |
Locations
560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599
8726 Old US Highway 42
Florence, KY 41042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008782 | KY | Yes |
Addresses
Primary practice location
560 S Loop Rd
Edgewood, KY 41017-3405
Mailing address
1204 Mockingbird CT
Edgewood, KY 41018-2609
Phone (859) 380-7117
Other practice location 1
8726 US 42
Florence, KY 41042
Phone (859) 301-2663
Other providers in Edgewood, KY
- Darryl D Dias
- Barry L Dick
- Mackenzi Dickerson
- Stephi Dickinson
- Timothy Dale Dickinson
- Kendall Diebold
- Jacob Andrew Dietz
- Maria Discepoli
- Sarah Elizabeth Doell
- Kirk M Doerger
All providers in Edgewood, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.