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JACKSON RAY DIEDE MAT, ATC
NPI 1760054373
Physical Medicine & Rehabilitation - Sports Medicine in Sioux Falls, SD

Active since July 13, 2021
810 E 23RD ST, SIOUX FALLS, SD 57105(605) 331-5890 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Ray Diede Mat, Atc NPPES

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

JACKSON RAY DIEDE MAT, ATC (NPI 1760054373) is an individual sports medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (0714) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1760054373
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameJACKSON RAY DIEDECredential: MAT, ATC
Location Address810 E 23RD STSioux Falls, SD 57105-2135
Mailing Address117 S High StMenno, SD 57045-2170 · (605) 760-1566
Phone(605) 331-5890
Sole ProprietorNo
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1760054373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in SD · 0714
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
810 E 23RD ST, Sioux Falls, SD 57105
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Other Identifiers 1

OtherWSLW01080864SD · Bluecross Blueshield

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.

WALTER O CARLSON MD
Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
MEGAN E COOK
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
NICHOLAS JOHN KOLTERMAN C.PED
Specialist
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 977-6845
JOHN OLIVER OLDENKAMP PA-C
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
SCOTT A MCPHERSON
Orthopaedic Surgery (Hand Surgery)
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
SHELLY M PRICE PT
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
AARON MICHAEL OLSON DPT, ATC, CSCS
Physical Therapist (Orthopedic)
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890
MICHAEL ALLEN LANGSTON PA-C
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 331-5890

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 Jackson Diede's NPI number?

The NPI number for Jackson Diede is 1760054373. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Jackson Diede located?

Jackson Diede practices at 810 E 23rd St, Sioux Falls, SD 57105. The listed phone number is (605) 331-5890.

What is Jackson Diede's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Jackson Diede was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.