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

Dr. Geoffrey David Diek, PT

Individual provider Legal Medicine · NPI 1033219159

Dr. Geoffrey David Diek, PT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1825 W Emelita Ave Ste 449
Mesa, AZ 85202-4034
Phone: (480) 933-5065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4145 North Gloucester Place, Atlanta, GA 30341-1249 — (404) 992-6229

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Legal Medicine Taxonomy 173000000X · Licence PT005701 (GA)

Record details

NPI number1033219159
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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