MARIVIC LUCENA DIEGO
NPI 1720737885
Physical Therapist in Tacoma, WA

Active since March 23, 2022Accepts Medicare Assignment
11112 PACIFIC AVE S, TACOMA, WA 98444(253) 537-1103 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2025, Jul 18, 2022 (2 updates tracked since 2022).

About Marivic Lucena Diego NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIVIC LUCENA DIEGO (NPI 1720737885) is an individual physical therapist in Tacoma, Washington, licensed in Georgia (PT016000) and active in the NPI registry since March 2022. She maintains 2 additional practice locations and is a graduate of Other (1999).

NPPES Registry Identity

NPI1720737885
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARIVIC LUCENA DIEGO
Location Address11112 PACIFIC AVE STacoma, WA 98444-5749
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1720737885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in GA · PT016000
Definition

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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

11112 PACIFIC AVE S, Tacoma, WA 98444

Secondary Practice Locations 2

Location 1Benchmark Old National Highway, Suite 300Atlanta, GA 30349 · Phone (770) 994-0188
Location 24959 Bill Gardner Pkwy Ste 109Locust Grove, GA 30248-2915 · Phone (770) 914-9285

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marivic Lucena Diego is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395129597
PECOS Enrollment IDI20220907004038, I20250625000842

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
194 services27 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
78 services20 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
68 services11 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
36 services12 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Massage Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Durable Medical Equipment & Medical Supplies
11112 PACIFIC AVE S
TACOMA, WA 98444
Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444
Physical Therapist
11112 PACIFIC AVE S
TACOMA, WA 98444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720737885, enumerated as an "individual" on March 23, 2022.

The provider is located at 11112 PACIFIC AVE S TACOMA, WA 98444 and the phone number is (253) 537-1103.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.