Donna Jose-Dizon, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

028748 Issued in NY

Practice address

24519 Jericho Tpke
Bellerose, NY 11426-1414

Phone

(718) 343-6300

Fax

(718) 343-6311

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Mobility PT PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1164851671
  NPD Authorized official
• Premier Physical Medicine & Rehabilitation, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Valleystream, NY
  • NPI 1245482454
  NPD (past)
• Thera Dynamic Physical Therapy P.C

  • Physical Therapist
  • Woodhaven, NY
  • NPI 1750471124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1013146166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EDNA DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913717",
            "telephone_number": "516-802-0216",
            "fax_number": "516-802-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24519 JERICHO TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261414",
            "telephone_number": "718-343-6300",
            "fax_number": "718-343-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115805719",
            "country_code": "US",
            "telephone_number": "516-593-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Kissena Blvd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553130",
            "country_code": "US",
            "telephone_number": "718-888-0338",
            "fax_number": "718-888-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE-DIZON",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "028748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION CERTIFICATE",
            "identifier": "6723976",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "028748",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03131000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1164851671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "40QA01330300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "37085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselaure Jean Mary, RN
• Fatima Zahra Jelloul, MD
• Jericho Chemists Inc
• Denise Jean Johnson-Biddle, RN
• Nancy Jones
• Caren Joseph-Dillon
• Marriyamma Joseph, RN
• Ahava Kadish, DDS
• Moshiah Katanov
• Gursimran Kataria

• Orthopedic Physical Therapist in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.