MRS. BETH ANNE DIETRICH (NPI# 1497871453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497871453 |
| Entity Type | Individual |
| Full Name | MRS. BETH ANNE DIETRICH |
| Credential | CTRS, MS |
| Practice Address |
4550 W Hatcher Rd Glendale AZ 85302-3740 |
| Practice Telephone | 6236285296 |
| Mailing Telephone | 6236285296 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4550 W HATCHER RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218406 | Shamara Lashai Clark | Recreation Therapist | 1701 E Colter St Unit 477, Phoenix, AZ 85016-3392 | 2019-11-05 |
| 1710485941 | Erin Sweeney | Recreation Therapist | 2830 S Price Rd, Tempe, AZ 85282-4034 | 2018-01-23 |
| 1285150284 | Chelsea Harden | Recreation Therapist | 21152 N 22nd St, Phoenix, AZ 85024-5513 | 2017-08-21 |
| 1831645332 | Ashlee Kirkman | Recreation Therapist | 9821 E Sellarole Rd, Tucson, AZ 85730-3017 | 2016-08-25 |
| 1972101087 | Erin Thompson | Recreation Therapist | 9150 W Indian School Rd Ste 105, Phoenix, AZ 85037-2385 | 2020-10-12 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1417457540 | Chanelle B Trautmann | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-02-15 |
| 1548760713 | Carolyn Rose Curcio | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-02-14 |
| 1821506064 | Joshua Parks | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-01-22 |
| 1235647595 | Caily Danielle O'connor | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
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| 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.