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Active NPI 1245244615 Individual Practitioner Male Practitioner

Larry R Diediker , LAT

Specialist/Technologist - Athletic Trainer • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Larry Diediker, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Conroe, TX. Practice services are available at 508 MEDICAL CENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 Medical Center Blvd

Conroe, TX 773042808

Telephone 9367606631
Associated Practice Facility / Clinic
🏢 Louis-Ricciardi Etal Ptr Facility NPI 1356569610

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Conroe, TX (3033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TX ATO170

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Marie Cantrell , OT-C

Specialist/Technologist, Other - Surgical Technologist

NPI 1003057613

OTC

Dr. James Pickett , MD

Internal Medicine - Interventional Cardiology

NPI 1003904962

Doctor of Medicine (M.D.)

NPI 1124031281

Doctor of Medicine (M.D.)

Lauren Hollis , PA-C

Physician Assistant

NPI 1134449283

Physician Assistant (Certified)

Dr. Anjali Dasgupta , MD

Internal Medicine - Infectious Disease

NPI 1194938035

Doctor of Medicine (M.D.)

Dr. George Boyle , MD

Internal Medicine - Cardiovascular Disease

NPI 1205850286

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 508 MEDICAL CENTER BLVD, CONROE, TX 773042808 (Tel: 9367606631)

📍
Updated Business Mailing Address July 08, 2007

Registered at 13240 CREST DR, WILLIS, TX 773186611 (Tel: 3962285035)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY DIEDIKER, L.A.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #ATO170 in TX)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245244615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

13240 Crest Dr

Willis, TX 773186611

Phone: 3962285035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.