DR. RYAN RICHARD DIETLEIN, D.P.T - NPI NUMBER 1003253352

Summary

Provider Name: DR. RYAN RICHARD DIETLEIN, D.P.T

NPI Number: 1003253352

Clasification: Physical Therapist (225100000X)

Organization: MIDLAND PHYSICAL THERAPY INC.

Address:
203 DILTS RD
ITHACA, MI
ZIP 48847

Phone Number: (989) 875-2266



Detailed Information

DR. Ryan Richard Dietlein, D.P.T is a physical therapist in Ithaca, MI with 1 years of experience. The provider is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT�s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient�s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. The assigned NPI number for this provider is 1003253352 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

203 DILTS RD
ITHACA, MI
ZIP 48847-475
Phone: (989) 875-2266
Fax: (989) 875-2225

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225100000X Physical Therapist 5501016312 MI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 5501016312 OTHER MI LICENSE

NPI Record

No. Field Name Field Value
1 NPI 1003253352
2 Entity Type Code 1
3 Provider Last Name Legal Name DIETLEIN
4 Provider First Name RYAN
5 Provider Middle Name RICHARD
6 Provider Name Prefix Text DR.
7 Provider Credential Text D.P.T
8 Provider First Line Business Practice Location Address 203 DILTS RD
9 Provider Business Practice Location Address City Name ITHACA
10 Provider Business Practice Location Address State Name MI
11 Provider Business Practice Location Address Postal Code 488479475
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9898752266
14 Provider Business Practice Location Address Fax Number 9898752225
15 Provider Enumeration Date 5/28/2013
16 Last Update Date 5/28/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 225100000X
19 Provider License Number 1 5501016312
20 Provider License Number State Code 1 MI
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 5501016312
23 Other Provider Identifier Type Code 1 01
24 Other Provider Identifier State 1 MI
25 Other Provider Identifier Issuer 1 LICENSE
26 Is Sole Proprietor N

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.