Individual provider Active NPI

Gillian Charlene Diestel, PT, DPT

  • Physical Therapist
  • Camp Pendleton, CA
National Provider Identifier
1679054282
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27162 Issued in MD
Practice address
200 Mercy Circle
Camp Pendleton, CA 92055
Phone
(760) 719-3382
NPI assigned
Aug 22, 2018
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27162 MD Primary

Addresses

Primary practice location

200 Mercy Circle
Camp Pendleton, CA 92055

Mailing address

200 Mercy Circle
Camp Pendleton, CA 92055
Phone (760) 719-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181204000467 MD Practitioner - Physical Therapist in Private Practice 5597009464 Reassigns benefits to 1 organization
I20221122000558 WV Practitioner - Physical Therapist in Private Practice 5597009464 Reassigns benefits to 1 organization
I20260309001401 CA Practitioner - Physical Therapist in Private Practice 5597009464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

10082 Tyler CT
Suite C
Ijamsville, MD 21754-8709
Phone (240) 341-4995

400 S Melrose Dr
Suite 215
Vista, CA 92081-6632
Phone (760) 509-9901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Aug 1, 2024 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Select San Diego Physical Therapy, PC. CurrentSince Jan 19, 2026 Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients

Locations

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330

10082 Tyler Ct
Ste C
Ijamsville, MD 21754
Phone (240) 341-4995

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1679054282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESTEL",
        "first_name": "GILLIAN",
        "middle_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.