DENISE ELIZABETH DIETZ (PT) – Physical Therapist, NPI 1063626737

DENISE ELIZABETH DIETZ (PT) is a healthcare provider. based in Salem, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-06400 (OH). The NPI Number for DENISE ELIZABETH DIETZ (PT) is 1063626737

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DENISE ELIZABETH DIETZ (PT)
NPI
1063626737
Phone
(330) 332-7297
Address
1995 E STATE ST
Enumeration Date
10 May 2007
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308750888
Graduation Year
1993 (33 years ago)
PAC ID
6709015688
Group Practice PAC ID
0345159315
Professional Enrollment ID
I20140219001228
Address ID
OH446411338LO702XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for DENISE ELIZABETH DIETZ (PT)

  • Salem Regional Medical Center, 1995, East State Street, Salem, Columbiana County, Ohio, 44460, United States

    SALEM, OH 444602423

    Phone: (330) 332-7297

    Type: Location

  • 7021, Southberry Hill, Covington Creek, Dublin, Canfield Township, Mahoning County, Ohio, 44406, United States

    CANFIELD, OH 444068176

    Phone: (330) 533-2506

    Type: Mailing

  • 550 S CANFIELD NILES RD

    YOUNGSTOWN, OH 445154024

    Phone: (330) 799-4446

    Fax: (330) 799-3860

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140219001228IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 44460)

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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: 0345159315View full group profile
NameSpecialtyState
Physician AssistantOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeMD
Hand Surgery, Orthopedic SurgeryOH
Family PracticeOH
Family PracticeOH

Reviews

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Frequently asked questions

Is DENISE ELIZABETH DIETZ (PT) listed with a National Provider Identifier?
Yes — DENISE ELIZABETH DIETZ (PT) has NPI 1063626737 on file in the registry.
Active or inactive — what applies to DENISE ELIZABETH DIETZ (PT)?
You should see DENISE ELIZABETH DIETZ (PT) as active in CMS-hosted NPPES data.
What clinical focus is listed for DENISE ELIZABETH DIETZ (PT)?
At a glance, DENISE ELIZABETH DIETZ (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DENISE ELIZABETH DIETZ (PT) located near Salem?
DENISE ELIZABETH DIETZ (PT) currently maps to Salem, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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