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

Marivic Lucena Diego

Individual provider Physical Therapist · NPI 1720737885

Marivic Lucena Diego is a Physical Therapist in Private Practice in Tacoma, Washington. Qualified in 1999, 27 years ago. Practices with Apple Physical Therapy LLC, a 283-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2022

Practice location Address checks out

11112 Pacific Ave S
Tacoma, WA 98444-5749
Phone: (253) 537-1103
Show map & directions

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

Additional practice locations (2)

  • Benchmark Old National Highway, Atlanta, GA 30349 — (770) 994-0188
  • 4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248-2915 — (770) 914-9285

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016000 (GA)

Record details

NPI number1720737885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Apple Physical Therapy Llc — 283 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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