Donnel T Dimond, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4750 Issued in OR

Practice address

735 SW 158TH Ave
Ste 102
Beaverton, OR 97006-4952

Phone

(503) 597-0035

Fax

(503) 726-5490

NPI assigned

Jun 11, 2006

Last updated

Jul 21, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dimond Physical Therapy and Performance Lab, LLC

  dba The KOR

  • Physical Therapist
  • Beaverton, OR
  • NPI 1184864365
  Authorized official Same address or phone
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Eugene, OR
  • NPI 1134158298
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1750310819
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1558303073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SW 158TH AVE",
            "address_2": "STE 102",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064952",
            "telephone_number": "503-597-0035",
            "fax_number": "503-726-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "DONNEL",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "PT4750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "520244001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "4750",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Sheda Dikeman
• Staisha Dill
• Maddison Dilullo
• Susan Beth Dimin, MA NURSING
• Dimond Physical Therapy and Performance Lab, LLC (The KOR)
• Vincent Peter Dimone, L.P.C. , LMHC
• Paige G Dinsmore, LMT
• Dirkse Counseling and Consulting, Inc.
• Discover Chiropractic
• Chanel Breae Dismuke, PSYD

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.