MARI DOLORES DIECKMAN (PT) – Physical Therapist, NPI 1225185366

MARI DOLORES DIECKMAN (PT) is a healthcare provider. based in Flagstaff, Arizona. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 2093 (AZ). The NPI Number for MARI DOLORES DIECKMAN (PT) is 1225185366

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MARI DOLORES DIECKMAN (PT)
NPI
1225185366
Phone
(928) 213-9730
Address
125 E ELM AVE
Enumeration Date
4 January 2007
Last Update Date
1 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9282139730
Graduation Year
1991 (35 years ago)
PAC ID
2163408618
Group Practice PAC ID
6305822834
Professional Enrollment ID
I20120509000504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARI DOLORES DIECKMAN (PT)

  • 125, East Elm Avenue, Downtown Flagstaff, Flagstaff, Coconino County, Arizona, 86001, United States

    SUITE 103

    FLAGSTAFF, AZ 860013258

    Phone: (928) 213-9730

    Fax: (928) 213-9732

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 86001)

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Provider's Procedures

MARI DOLORES DIECKMAN (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAZ97001Physical therapy evaluation3229

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305822834View full group profile

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Frequently asked questions

Where can patients find MARI DOLORES DIECKMAN (PT)'s NPI?
You can confirm MARI DOLORES DIECKMAN (PT) with NPI 1225185366; it appears in the national provider directory.
Is MARI DOLORES DIECKMAN (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARI DOLORES DIECKMAN (PT) treat or focus on?
Patients typically see MARI DOLORES DIECKMAN (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MARI DOLORES DIECKMAN (PT)?
We surface Flagstaff, Arizona for MARI DOLORES DIECKMAN (PT) based on available NPPES addresses.
Is MARI DOLORES DIECKMAN (PT) a real provider?
This page reflects official NPPES data for NPI 1225185366. Always confirm identity and privileges with the practice and licensing boards.

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