Individual provider Active NPI

Joseph E Dizon, P.T.

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1063531077
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2815 Issued in NM
Practice address
3850 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8273
Phone
(575) 521-0793
Fax
(575) 532-7172
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2815 NM Primary

Addresses

Primary practice location

3850 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8273

Mailing address

3850 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8273
Phone (575) 521-0793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000111 NM Practitioner - Physical Therapist in Private Practice 2769531631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Chiropractic PCGroup PAC ID 4082615190, 8 clinicians

Practice addresses (Care Compare)

3850 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8288
Phone (575) 521-0793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Health & Wellness Inc Physical Therapist CurrentSince Oct 20, 2010 Accepting new patients

Locations

3850 E Lohman Ave
Ste 100
Las Cruces, NM 88011
Phone (575) 521-0793

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1063531077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E LOHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "575-521-0793",
            "fax_number": "575-532-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E LOHMAN AVE",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "575-521-0793",
            "fax_number": "575-532-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.