MRS. DONNA GAIL DIEDRICH (NPI# 1063626802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063626802 |
| Entity Type | Individual |
| Full Name | MRS. DONNA GAIL DIEDRICH |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
104 Marshall St Fort Mill SC 29715-1816 |
| Practice Telephone | 8035476817 |
| Practice Fax Number | 8035472708 |
| Mailing Telephone | 8035476817 |
| Mailing Fax Number | 8035472708 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
1697 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
104 MARSHALL ST |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770931172 | Alida Mcgann | Physical Therapist | 206 Robinson St, Greenville, SC 29609-5433 | 2016-05-26 |
| 1992178644 | Michael Gerard Brophy | Physical Therapist | 811 Woodstone Dr, Apt G, Florence, SC 29501-5502 | 2015-11-03 |
| 1366833279 | Cindy Matthews-long | Physical Therapist | 828 Beltline Blvd, Columbia, SC 29205-2063 | 2015-02-13 |
| 1114321965 | Teresa Marie Jemming | Physical Therapist | 3300 Butterworth Cir, Sumter, SC 29154-9475 | 2014-10-21 |
| 1750784138 | Patrice Hazan | Physical Therapist | 845 Ne Main St, Simpsonville, SC 29681-2041 | 2014-09-30 |
| 1396007407 | Michele Acejo Bucayan | Physical Therapist | 335 Midland Pkwy, Summerville, SC 29485-8138 | 2012-06-14 |
| 1972885754 | Jacob Pierce Fleming | Physical Therapist | 27 Barnwood Cir, Greenville, SC 29607-5486 | 2011-09-16 |
| 1942594544 | Tp Holdings, LLC | Physical Therapist | 1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 | 2011-06-01 |
| 1659518975 | Visio Perspectives Neuro Rehab Services LLC | Physical Therapist | 115 S Morris St, Lake City, SC 29560-2459 | 2009-01-08 |
| 1538329941 | Joshua J Canfield | Physical Therapist | 112 Tanglesworth Rd, Irmo, SC 29063-7905 | 2008-06-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DONNA GAIL DIEDRICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.