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

Daniel Deitz

Individual provider Physical Therapist · NPI 1801496179

Daniel Deitz is a Physical Therapist in Private Practice in West Berlin, New Jersey. Qualified in 2020, 6 years ago. Practices with Ipta Clinical, LLC, a 126-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

115 NJ-73 #80
West Berlin, NJ 08091
Phone: (856) 335-4938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 40QA01919600 (NJ)

Record details

NPI number1801496179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 19, 2020
Mailing address40 Haines Ave, Berlin, NJ 08009-2311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ipta Clinical, Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Berlin