Corey Lynn Dietze, DPT, ATC-LAC - Physical Therapist in Fort Campbell, KY

Corey Lynn Dietze, DPT, ATC-LAC is a Physical Therapist based in Fort Campbell, Kentucky. Corey Lynn Dietze is licensed to practice in Tennessee (license number 11466) and his current practice location is Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 798-8400.

NPI number for Corey Lynn Dietze is 1417073875 and his current mailing address is Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417073875.

Contact Information

Corey Lynn Dietze, DPT, ATC-LAC
Blanchfield Army Community Hospital, 650 Joel Drive,
Fort Campbell, KY 42223
(270) 798-8400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCorey Lynn Dietze
GenderMale
SpecialityPhysical Therapist
LocationBlanchfield Army Community Hospital, Fort Campbell, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417073875
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 02/10/2020

Medical Identifiers

Medical identifiers for Corey Lynn Dietze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417073875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 29738 (Florida)Secondary
225100000XPhysical Therapist 2305207917 (Virginia)Secondary
225100000XPhysical Therapist 9739 (Colorado)Secondary
225100000XPhysical Therapist 04029 (Iowa)Secondary
2251X0800XPhysical Therapist - Orthopedic 11466 (Utah)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 00515 (Iowa)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 4253 (Florida)Secondary
225100000XPhysical Therapist 11466 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Lynn Dietze is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corey Lynn Dietze, DPT, ATC-LAC
Blanchfield Army Community Hospital, 650 Joel Drive,
Fort Campbell, KY 42223

Ph: (270) 798-8400
Corey Lynn Dietze, DPT, ATC-LAC
Blanchfield Army Community Hospital, 650 Joel Drive,
Fort Campbell, KY 42223

Ph: (270) 798-8400

Reviews and Comments


Physical Therapist in Fort Campbell, KY

Mackenzie Jones, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8823    
Kasey Marie Phillips,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 931-308-8472    
Patricia Stacie Barlow, PT, ATC
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-956-1995    
Lydia Wright, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-298-4945    
Jennifer Wardynski, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8372    
Mr. Charles Blake, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 270-956-0180
Phillip Bradley Burgess, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    Fax: 423-665-4381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.