Marlon Dimayuga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 012379 L Issued in PA

Practice address

867 York Rd
Gettysburg, PA 17325-7501

Phone

(717) 338-5106

NPI assigned

Sep 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

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)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503
  Care Compare group

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1538562913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STAR DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319406",
            "telephone_number": "717-338-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257501",
            "telephone_number": "717-338-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAYUGA",
        "first_name": "MARLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 012379 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astha Desai
• Elizabeth Dicampli, CNM, WHNP, MSN
• Dicks Home Care Inc
• Mark P Diehl, DO
• Annalicia Dilollo, MS, LMHC, LPC
• Michael R Dinapoli, MD
• Discover Hope Counseling Services, LLC
• Discover the Possibilities, LLC
• Gerald J Diskin, DO
• Joseph Donald Donolli, ATC

• Physical Therapist in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.