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

Mary Elizabeth Diedrich, PT

Individual provider Physical Therapist · NPI 1639514318

Mary Elizabeth Diedrich, PT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

4530 E Muirwood Dr Ste 111
Phoenix, AZ 85048-7639
Phone: (480) 961-2365
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5232 (AZ)

Record details

NPI number1639514318
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Phoenix