Geoffrey David Diek, PT
NPI 1033219159ActiveIndividual· Physical Therapist· Mesa, AZ
Physical Therapist (PT) with 360 Physical Therapy LLC and 1 other group, practicing in Mesa, Arizona. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1033219159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Legal Medicine | 173000000X | PT005701 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (GA); Practitioner - Physical Therapist in Private Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- 360 Physical Therapy LLCMesa, AZ · 86 clinicians
- Vista Physical Therapy LLCMelissa, TX · 17 clinicians
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All 484 physical therapists in Mesa · All physical therapists in Arizona