Brian Dietz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297055 Issued in CA

Practice address

990 Riley St
Folsom, CA 95630-3064

Phone

(916) 355-1250

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Dorado Physical Therapy IncGroup PAC ID 8325181480, 18 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.

• El Dorado Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1033446448

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers, Inc.

  dba California Sports Physical Therapy

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329
  Medicare reassignment NPD

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1952949620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 RILEY ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303064",
            "telephone_number": "916-355-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 RILEY ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303064",
            "telephone_number": "916-355-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4572 Telephone Rd Ste 903",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930035663",
            "country_code": "US",
            "telephone_number": "805-654-8127",
            "fax_number": "805-654-8149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nichole Dickerson
• Michele Dickey, LCSW
• Crystal Diei
• Juliana Diemert
• Cheryl Lynn Dietrick, DC
• Dignity Health (Mercy Hospital of Folsom)
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Dignity Health Medical Foundation (MercyClinic Folsom, a service of Dignity Health Medical Foundation)
• Shannon Suzanne Dillon, MD
• Shaina M Dimariano, D.D.S.

• Physical Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.