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

Jeffrey John Diepold, PT

Individual provider Physical Therapist · NPI 1285890988

Jeffrey John Diepold, PT is a Physical Therapist in Private Practice in Mechanicsville, Virginia. Qualified in 2008, 18 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
18
Licensed in
VA
In the registry since
2008
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

8266 Atlee Rd Ste 133PT
Mechanicsville, VA 23116-1804
Phone: (804) 569-1665
Fax: (804) 569-1628
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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 2305205531 (VA)

Record details

NPI number1285890988
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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