Pamela S Dietelbach, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT. 012239 Issued in OH

Practice address

77 W McKinley Way
Youngstown, OH 44514-1953

Phone

(810) 636-8700

NPI assigned

Sep 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tudor Home Therapies IncGroup PAC ID 1850290644, 18 clinicians

Precision Physical Therapy LLCGroup PAC ID 1456522838, 2 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.

• Precision Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Warren, OH
  • NPI 1003114273

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tudor Home Therapies Inc

  • Physical Therapist
  • Austintown, OH
  • NPI 1295783389
  Medicare reassignment Care Compare group NPD
• Tu Dor Home Therapies Inc

  • Physical Therapist
  • Newton Falls, OH
  • NPI 1164603320
  NPD
• Chiropractic and Functional Neurology Center LLC

  • Neurology Chiropractor
  • Warren, OH
  • NPI 1750893327
  NPD (past)
• Tu Dor Home Therapies Inc

  • Physical Therapist
  • Boardman, OH
  • NPI 1164470233
  NPD (past)
• Tudor Home Therapies Inc

  • Physical Therapist
  • Youngstown, OH
  • NPI 1063847747
  NPD (past)
• Tudor Home Therapies, Inc

  • Physical Therapist
  • Poland, OH
  • NPI 1568750875
  NPD (past)
• Tudor Home Therapies, Inc

  • Physical Therapist
  • Salem, OH
  • NPI 1902278971
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1891945960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MCKINLEY WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141953",
            "telephone_number": "810-636-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 S Canfield Niles Rd",
            "address_2": "Unit 1",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445154084",
            "country_code": "US",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETELBACH",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT. 012239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2960069",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "34-1877311-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "34-1877311-00",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-97047",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Dickner, M.D.
• Sharron L Dickson, CDCA, SWT
• Jamie Allison Didomenico, DDS
• Jacqueline Sue Didur, LMT
• Christina Diehl
• Denise Elizabeth Dietz, PT
• Christina Alice Diglaw, CNP
• Christina Dill
• Karen Annette Dill, RN
• Deborah Lynne Dillon, CNP

• Physical Therapist in Youngstown, OH
• Providers in Youngstown, 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 7, 2024; 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.