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

Kenneth Lee Diehl, PT

Individual provider Physical Therapist · NPI 1396841300

Kenneth Lee Diehl, PT is a Physical Therapist in Private Practice in Kailua Kona, Hawaii. Qualified in 1997, 29 years ago. Practices with Active Recovery LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Alaska, Arizona, Hawaii and New Mexico.

Years since qualifying
29
Licensed in
AK, AZ, HI, NM
In the registry since
2006
Specialties on file
4
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

75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Phone: (808) 329-7744
Fax: (808) 334-1608
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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 2567 (HI)
Physical Therapist Taxonomy 225100000X · Licence 3925 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 3101 (NM)
Physical Therapist Taxonomy 225100000X · Licence 1513 (AK)

Record details

NPI number1396841300
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESFebruary 11, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Active Recovery Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua Kona