Individual provider Active NPI

Gladys May Casayuran Dizon

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1144854001
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01914100 Issued in NJ
Practice address
343 Thornall St Ste 510
Edison, NJ 08837-2224
Phone
(862) 333-8055
NPI assigned
Feb 28, 2020
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J100040006 DE
Physical Therapist 225100000X 40QA01914100 NJ Primary

Addresses

Primary practice location

343 Thornall St Ste 510
Edison, NJ 08837-2224

Mailing address

5 Manor Dr Apt 3N
Newark, NJ 07106-3236
Phone (862) 333-8055

Other practice location 1

5 Manor Dr Apt 3N
Newark, NJ 07106-3236
Phone (862) 333-8055

Electronic endpoints 8

TypeEndpointUseAffiliation
CONNECT URL mdizon@theccmc.net Direct
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200414000388 NJ Practitioner - Physical Therapist in Private Practice 4486084522 Reassigns benefits to 4 organizations
I20200714001477 NM Practitioner - Physical Therapist in Private Practice 4486084522 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
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J100040006DEMDPhysical Therapist
40QA01914100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions, LLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Theraphysical, LLC CurrentSince May 15, 2023 Accepting new patients
Trinity Physical Therapy and Rehab Center PC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Way Rehab Services Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Theraphysical, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients

Locations

305 Bayonne Crossing Way
Ste 101
Bayonne, NJ 07002
Phone (201) 778-2020

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

623 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 340-4656

2600 US Route 1
North Brunswick, NJ 08902
Phone (732) 444-2000

2 Hospital Dr
Plainsboro, NJ 08536
Phone (267) 249-5721

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

309 Fries Mill Rd
Ste 17
Sewell, NJ 08080
Phone (856) 589-7723

290 Broad St
Summit, NJ 07901
Phone (732) 994-3299

200 W 1st St
Ste 527
Roswell, NM 88203
Phone (575) 840-3879

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1144854001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MANOR DR APT 3N",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063236",
            "telephone_number": "862-333-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 THORNALL ST STE 510",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372224",
            "telephone_number": "862-333-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Manor Dr Apt 3N",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071063236",
            "country_code": "US",
            "telephone_number": "862-333-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIZON",
        "first_name": "GLADYS MAY",
        "middle_name": "CASAYURAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J100040006",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01914100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mdizon@theccmc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Manor Dr Apt 3N",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071063236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "309 Fries Mill Rd Ste 17",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7 Carnegie Plz",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080031000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "290 BROAD STREET, SAGE ELDERCARE",
            "city": "SUMMIT",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079013507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "407 W Delilah Rd",
            "city": "Pleasantville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082321207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "872 E Main St",
            "city": "Bridgewater",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088073395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2600 Route 1",
            "city": "North Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089024305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2 Hospital Dr",
            "city": "Plainsboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085362191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.