Individual provider Active NPI

Elizabeth Dimaano

  • Physical Therapist
  • Lincoln Park, NJ
National Provider Identifier
1063764975
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01271200 Issued in NJ
Practice address
11 Crefeld CT
Lincoln Park, NJ 07035-1242
Phone
(862) 684-5229
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 40QA01271200 NJ Primary

Addresses

Primary practice location

11 Crefeld CT
Lincoln Park, NJ 07035-1242

Mailing address

11 Crefeld CT
Lincoln Park, NJ 07035-1242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114003705 NJ Practitioner - Physical Therapist in Private Practice 1355832528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

Practice addresses (Care Compare)

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01271200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exemplary Home Therapy Services LLC Physical Therapist CurrentSince Oct 14, 2025 Accepting new patients
Functional Home Therapy Services LLC Physical Therapist CurrentSince Oct 14, 2025 Accepting new patients

Organizations & group practices 2

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1063764975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CREFELD CT",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CREFELD CT",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351242",
            "telephone_number": "862-684-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01271200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.