KELSEY ELIZABETH DIETZ – Physical Therapist, NPI 1124521059

KELSEY ELIZABETH DIETZ is a healthcare provider. based in Bechtelsville, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT026536 (PA). The NPI Number for KELSEY ELIZABETH DIETZ is 1124521059

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY ELIZABETH DIETZ
NPI
1124521059
Phone
(610) 845-5000
Address
560 N ROUTE 100
Enumeration Date
16 March 2018
Last Update Date
27 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108455000
Graduation Year
2017 (9 years ago)
PAC ID
9931461902
Group Practice PAC ID
7517100423
Professional Enrollment ID
I20180403001219
Address ID
PA195059228BE560XX100X401

Contacts

Secure Messaging
dkelsey149485@direct.ahn.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

4,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for KELSEY ELIZABETH DIETZ

  • 560 N ROUTE 100

    BECHTELSVILLE, PA 195059228

    Phone: (610) 845-5000

    Fax: (610) 845-5011

    Type: Mailing

  • Perry Highway, Wexford, Pine Township, Allegheny County, Pennsylvania, 15090, United States

    WEXFORD, PA 150908344

    Phone:

    Type: Mailing

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: 2018-04-03

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
I20180403001219IPhysical Therapist In Private PracticePATBD

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 19505)

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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: 7517100423View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

How is KELSEY ELIZABETH DIETZ identified in CMS data?
CMS-hosted NPPES data lists KELSEY ELIZABETH DIETZ with NPI 1124521059.
Does CMS list KELSEY ELIZABETH DIETZ as active?
Yes — KELSEY ELIZABETH DIETZ is active in the NPI listing used on this page.
What is KELSEY ELIZABETH DIETZ's specialty?
The listing groups KELSEY ELIZABETH DIETZ with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KELSEY ELIZABETH DIETZ based?
KELSEY ELIZABETH DIETZ is tied to Bechtelsville, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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