Ryan Diederich
NPI 1104236108 · Physical Therapy Assistant · Fort Wayne, IN
Ryan Diederich is a Physical Therapy Assistant provider in Fort Wayne, IN (NPI 1104236108).
Provider details
- NPI number
- 1104236108
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 06004770A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2014-04-30
Frequently asked questions
- What is Ryan Diederich's NPI number?
- Ryan Diederich's National Provider Identifier (NPI) is 1104236108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Diederich's specialty?
- Ryan Diederich is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ryan Diederich located?
- Ryan Diederich's practice location on file with NPPES is 2827 Northgate Blvd, Fort Wayne, IN 46835-2900.
- What is Ryan Diederich's phone number?
- The practice phone number listed in the NPPES registry for Ryan Diederich is (260) 490-1400.
- Is Ryan Diederich's NPI active?
- Yes — Ryan Diederich's NPI (1104236108) is active in the NPPES registry as of the last update on 2014-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.