MARIAH MARIE DIERCKS PT, DPT
NPI 1659971554
Physical Therapist in Red Wing, MN
About Mariah Marie Diercks Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH MARIE DIERCKS PT, DPT (NPI 1659971554) is an individual physical therapist in Red Wing, Minnesota, licensed in Minnesota (12113) and active in the NPI registry since October 2020. She maintains a secondary practice location in Hammond.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariah Marie Diercks Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariah Diercks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- 1,571 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mariah Diercks's NPI number?
The NPI number for Mariah Diercks is 1659971554. It was assigned to this individual provider in the NPPES registry on October 29, 2020.
Where is Mariah Diercks located?
Mariah Diercks practices at 701 Hewitt Blvd, Red Wing, MN 55066. The listed phone number is (651) 267-5000.
What is Mariah Diercks's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mariah Diercks enrolled in Medicare?
Yes. Mariah Diercks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariah Diercks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Diercks reassigns Medicare benefits to Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariah Diercks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariah Diercks was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.