Individual provider · Type 1 NPI

Jared Dieckman, PT, DPT

Physical Therapist · Leesburg, VA

NPI number 1265346233 Active

Practice location

540 Fort Evans Rd Ste 209
Leesburg, VA 20176-3379

Mailing address

3171 30th Ave
Elk Mound, WI 54739-4213

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XCP061824T (VA)
Physical Therapist 225100000X1792824 (WI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1265346233

Jared Dieckman, PT, DPT's National Provider Identifier is 1265346233, issued on Sep 29, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Leesburg, VA. The record was last updated on Oct 7, 2026.