LISA DIETSCHE (P.T.) – Physical Therapist, NPI 1073645891

LISA DIETSCHE (P.T.) is a healthcare provider. based in Akron, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT008872 (OH). The NPI Number for LISA DIETSCHE (P.T.) is 1073645891

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA DIETSCHE (P.T.)
NPI
1073645891
Phone
(330) 762-5425
Address
640 W MARKET ST
Enumeration Date
9 March 2007
Last Update Date
4 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307625425
Graduation Year
1999 (27 years ago)
PAC ID
5294783742
Group Practice PAC ID
6709771843
Professional Enrollment ID
I20050111000609
Address ID
OH443031413AK640XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for LISA DIETSCHE (P.T.)

  • 640 W MARKET ST

    AKRON, OH 443031413

    Phone: (330) 762-5425

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-11

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
I20050111000609IPhysical 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 44303)

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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: 6709771843View full group profile
NameSpecialtyState
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Gastroenterology, Internal MedicineOH
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What NPI should I save for LISA DIETSCHE (P.T.)?
Save NPI 1073645891 if you need a stable reference for LISA DIETSCHE (P.T.).
Is LISA DIETSCHE (P.T.)'s NPI currently valid?
The extract we use shows LISA DIETSCHE (P.T.) as active.
What kind of provider is LISA DIETSCHE (P.T.)?
The page reflects Physical Therapist for LISA DIETSCHE (P.T.). Clinical services aligned with this taxonomy classification.
Does LISA DIETSCHE (P.T.) practice in Ohio?
You will see Akron, Ohio on file for LISA DIETSCHE (P.T.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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