Mrs. Nicole Dawn Diedrich, PT
Mrs. Nicole Dawn Diedrich, PT is a Physical Therapist in Private Practice in Pecatonica, Illinois. Qualified in 2002, 24 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 24
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
219 Main StPecatonica, IL 61063-9195
Phone: (815) 239-2233
Fax: (815) 239-9999
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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 070013314 (IL) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 070013314 (IL) |
Record details
| NPI number | 1750438826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | July 11, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |