Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collin Dieffenbach

Individual provider Physical Therapist · NPI 1053029306

Collin Dieffenbach is a Physical Therapist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

14813 N Dale Mabry Hwy Ste 720
Tampa, FL 33618-2027
Phone: (813) 964-5982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39551 (FL)

Record details

NPI number1053029306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 6, 2022
Mailing address13519 Capitol Dr, Tampa, FL 33613-3105

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