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

Koden Tietjen, DPT

Individual provider Physical Therapist · NPI 1194677518

Koden Tietjen, DPT is a Physical Therapist in Private Practice in Mesquite, Nevada. Qualified in 2025, 1 year ago. Practices with Mesa View Physical Rehabilitation LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1140 W Pioneer Blvd
Mesquite, NV 89027
Phone: (702) 346-1899
Fax: (702) 346-8581
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1194677518
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mesa View Physical Rehabilitation Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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