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

Jonnie Diederich, PTA

Individual provider Physical Therapy Assistant · NPI 1750786406

Jonnie Diederich, PTA is a Physical Therapy Assistant in Reno, Nevada. Licensed in Colorado, Nevada, Oregon and Wisconsin. Registered with an NPI since 2014.

Licensed in
CO, NV, OR, WI
In the registry since
2014
Specialties on file
4
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1575 Robb Dr
Reno, NV 89523-3746
Phone: (775) 827-3777
Fax: (775) 827-1013
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-0728 (NV)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1954-19 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0013299 (CO)
Physical Therapy Assistant Taxonomy 225200000X · Licence 09039 (OR)

Record details

NPI number1750786406
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014
Mailing address5200 Summit Ridge Dr, 5321, Reno, NV 89523-9014

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