Active NPI
Karleigh Dieterich, PT
- Physical Therapist
- Waco, TX
National Provider Identifier
1679400030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1404492
- Practice address
- 5016 W Waco Dr
Waco, TX 76710-7022 - Phone
- (254) 732-8330
- NPI assigned
- May 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1404492 | Primary |
Addresses
Primary practice location
5016 W Waco Dr
Waco, TX 76710-7022
Mailing address
5016 W Waco Dr
Waco, TX 76710-7022
Phone (254) 732-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5016 W Waco Dr
Waco, TX 76710-7022
529 Gazaway Dr SE
Dalton, GA 30721-5690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1679400030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107022",
"telephone_number": "254-732-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 W WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107022",
"telephone_number": "254-732-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETERICH",
"first_name": "KARLEIGH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-07",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "1404492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.