Angelene Belle Dimaano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051245 Issued in NY

Practice address

2075 Sheridan Dr Ste D
Kenmore, NY 14223-1425

Phone

(716) 803-8220

NPI assigned

Jul 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan E Bennett PT PCGroup PAC ID 9133149925, 11 clinicians

Practice addresses (Care Compare)

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.

• Susan E Bennett PT PC

  • Physical Therapy Clinic/Center
  • Kenmore, NY
  • NPI 1710021001
  Medicare reassignment Care Compare group NPD
• Donner Physical Therapy and Sports Rehab Inc

  • Orthopedic Physical Therapist
  • Plantation, FL
  • NPI 1598086852
  NPD (past)

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1093440919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BONNETT AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506846",
            "telephone_number": "914-882-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SHERIDAN DR STE D",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142231425",
            "telephone_number": "716-803-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "ANGELENE BELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolf Diamond
• Diane J. Sutter, M.D., LLC
• Jennifer Lynn Dickinson, LMT
• Richard Brian Dickman, COTA
• Catherine Hannah Dill, PT, DPT
• Yvon Serge Dimiyo, MA,MHA,MAPS
• Kelly Dinatale
• Vickie L Dinse, RPH
• Mark Dirlam, PT, DPT
• Angela Disorbo

• Physical Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.