Jeff Dietrichson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0016101 Issued in CO

Practice address

5670 Greenwood Plaza Blvd Ste Ll110
Greenwood Village, CO 80111-2448

Phone

(303) 694-9193

Fax

(303) 779-0566

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Body Image Physical Therapy & Fitness P.C.

  • Physical Therapist
  • Aurora, CO
  • NPI 1316981772
  Medicare reassignment
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Commerce City, CO
  • NPI 1659944957
  NPD
• MVP Physical Therapy, LLC

  • Physical Therapist
  • Commerce City, CO
  • NPI 1326473141
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1508919184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 GREENWOOD PLAZA BLVD STE LL110",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112448",
            "telephone_number": "303-694-9193",
            "fax_number": "303-779-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 GREENWOOD PLAZA BLVD STE LL110",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112448",
            "telephone_number": "303-694-9193",
            "fax_number": "303-779-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICHSON",
        "first_name": "JEFF",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2480",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0016101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "583444",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Diamond
• Nathaniel Dickerson, CRNA, DNPA
• Sydney Nicole Didonato, PA-C
• Christopher Jeffrey Diem, CRNA
• Christian Dietrich
• Jeanna Lee Dietz, NP
• Jennifer Lee Dillard, RN
• Dillon Companies LLC
• Dillon Companies LLC
• Emma Dimalanta

• Physical Therapist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.