Active NPI
Joseph E Dizon, P.T.
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1063531077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Health & Wellness Inc | Physical Therapist | Current | 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.
-
- Family Nurse Practitioner
- Las Cruces, NM
- NPI 1356453328
Physical Therapist
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.