Heather Dimenno, PT

Key facts

NPI

1003129156

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

40QA01358100 (NJ)

Practice address

452 US Highway 206
Montague, NJ 07827-3045

Phone

(973) 293-0010

Fax

(973) 293-0018

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2010.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1003129156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416495",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 US HIGHWAY 206",
            "city": "MONTAGUE",
            "state": "NJ",
            "postal_code": "078273045",
            "telephone_number": "973-293-0010",
            "fax_number": "973-293-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENNO",
        "first_name": "HEATHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01358100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montague, NJ

• Andover Orthopaedic Surgery
• Lionel Bissainthe
• Tyler Michael Castro, DPT
• Jacqueline M Collins, COTA/L
• Eileen Christine Decaro, DPT
• Kyrone Doyle
• Terrence A Duddy, DDS
• Danny Innamorato, PHARMACIST
• Paula Jones
• Brenna Kabbash, DPT

All providers in Montague, NJ · Physical Therapist in New Jersey