Active NPI
Joaquin Cuevas Dimanlig
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1093227449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32702
- Practice address
- 411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066 - Phone
- (704) 577-3186
- NPI assigned
- Oct 25, 2017
- 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 | 32702 | FL | Primary |
Addresses
Primary practice location
411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Mailing address
515 Jordan PL Apt 100-B
Charlotte, NC 28205-2694
Phone (954) 393-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32702 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | 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.
-
- Rehabilitation Clinic/Center
- Pembroke Pines, FL
- NPI 1124051776
-
- Athletic Trainer
- Lake Placid, FL
- NPI 1831234350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1093227449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 JORDAN PL APT 100-B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282052694",
"telephone_number": "954-393-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 BILLINGSLEY RD STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111066",
"telephone_number": "704-577-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMANLIG",
"first_name": "JOAQUIN",
"middle_name": "CUEVAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-25",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.