Earl Norbert O. Dimaano, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT36611 Issued in FL

Practice address

7451 103Rd St Ste 12
Jacksonville, FL 32210-6788

Phone

(904) 771-3679

NPI assigned

Dec 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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.

• Axiomhealth Management LLC

  • Rehabilitation Clinic/Center
  • Altamonte Springs, FL
  • NPI 1912456799

  Geriatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1063008357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 103RD ST STE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106788",
            "telephone_number": "904-771-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 103RD ST STE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106788",
            "telephone_number": "904-771-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "EARL NORBERT",
        "middle_name": "O.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT36611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon C Hernandez DMD, PLLC
• Megan Flanigan Dillon
• Nicole H Dillow, M.D.
• Tanya Paradiso Dilmuth, ARNP
• Salvatore D Diloreto, MD
• Maeghan Christine Dimaggio
• Jeffrey Dimascio, DO
• Catherine Dimberg, MS, CCC-SLP
• Elliot Dimberg, MD
• Lauren Tina Dimitrov, R.D.

• Geriatric Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.