RYAN DIEDERICH
NPI 1104236108
Physical Therapy Assistant in Fort Wayne, IN

NPI Status: Active since April 30, 2014

Contact Information

2827 NORTHGATE BLVD
FORT WAYNE, IN
ZIP 46835
Phone: (260) 490-1400

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  • Individual
  • Male
  • Physical Therapy Assistant

About RYAN DIEDERICH

This page provides the complete NPI Profile along with additional information for Ryan Diederich, a provider established in Fort Wayne, Indiana with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1104236108 assigned on April 2014. The practitioner's primary taxonomy code is 225200000X with license number 06004770A (IN). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1104236108
Provider Name
RYAN DIEDERICH
Gender
Male
Entity Type
Individual
Location Address
2827 NORTHGATE BLVD FORT WAYNE, IN 46835
Location Phone
(260) 490-1400
Mailing Address
302 UNION STATION DR FORT WAYNE, IN 46814
Is Sole Proprietor?
Yes
Enumeration Date
04-30-2014
Last Update Date
04-30-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
06004770A
License State
IN
Taxonomy Description
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104236108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104431210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 3 + 1 + 2 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1104236108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457468894INDIANA HEALTH AND REHABILITATION CENTERS
Organization
Skilled Nursing Facility2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1386700755INDIANA HEALTH AND REHABILITATION CENTERS
Organization
Assisted Living Facility2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1437356904MR. DAVID KEITH NINER SLP
Individual
Speech-Language Pathologist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1073710349MR. ALFORD FREEMAN MORROW JR. OTR
Individual
Occupational Therapist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1861699092MR. ANTHONY KHUNTONG PANBAMRUNG PTA
Individual
Physical Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1498
1740487891MRS. MICHELLE LEA MYERS COTA
Individual
Occupational Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1366649402MR. MARROH ESPINOSA PT
Individual
Physical Therapist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1498
1508063645MR. SHANE MICHAEL DISHEAUX COTA
Individual
Occupational Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1498
1922206747 CHRISTOPHER SALVADO ROMERO OTR
Individual
Occupational Therapist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1498
1760672133 JOSELITO ESTOQUE ENCABO OTR
Individual
Occupational Therapist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1467783324MS. CYNTHIA MARIE FAULKNER PTA
Individual
Physical Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1568793248 JENNY SUE EVERSMAN PTA
Individual
Specialist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 715-2850
1134476724 RACHEL MARIE KLINE
Individual
Speech-Language Pathologist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1013329341 CALEB OREN
Individual
Occupational Therapist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1407264559MS. CHRISTI WIARD PTA
Individual
Physical Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1245620897 VANDER FIELDS
Individual
Speech-Language Pathologist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(214) 442-4000
1225422918 BRIANNA MILLER
Individual
Speech-Language Pathologist2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1881940617THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Organization
Skilled Nursing Facility2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400
1427470848 KATIE FORD
Individual
Occupational Therapy Assistant2827 NORTHGATE BLVD
FORT WAYNE, IN 46835
(260) 492-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104236108, enumerated in the NPI registry as an "individual" on April 30, 2014

The provider is located at 2827 Northgate Blvd Fort Wayne, In 46835 and the phone number is (260) 490-1400

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on April 30, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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