Kyle Ditzenberger, DPT
Physical Therapist in Chagrin Falls, OH. Individual provider (NPI-1).
NPI number1235835232
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1235835232
- Entity type
- Individual (NPI-1)
- Name
- Kyle Ditzenberger
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2023
- Certification date
- Jan 26, 2023
- Last updated
- Feb 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT020118 | OH | Yes |
Practice location
576 Industrial PkwyChagrin Falls, OH 44022-4413
Phone 330-577-3640
Mailing address
576 Industrial PkwyChagrin Falls, OH 44022-4413
Phone 330-577-3640
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Physical Therapist providers in Chagrin Falls · All 569 providers in Chagrin Falls
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