Earl Dimaandal, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1226646 Issued in TX

Practice address

529 Gaslight Blvd
Lufkin, TX 75904-3127

Phone

(936) 404-7167

NPI assigned

Feb 13, 2019

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Excel Complete Home Health & Therapy Services LLC

  • Home Health Agency
  • Lufkin, TX
  • NPI 1053824474

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• Allee Therapy, LLC

  • Occupational Therapist
  • Jasper, TX
  • NPI 1194354548

  Physical Therapist, TX

  Medicare reassignment NPD
• Excel Complete Home Health & Therapy Services LLC

  • Home Health Agency
  • Lufkin, TX
  • NPI 1053824474
  NPD Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1578029674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043127",
            "telephone_number": "936-404-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANDAL",
        "first_name": "EARL",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept of Assistive & Rehab Serv - Lufkin Field Office
• Pratibha Amol Deshpande, M.D.
• Kelly Dickinson
• Megan Kay Dickinson, MSN, NP-C
• Katherine Blythe Diggs, NP-C
• Distinct Focus on Life, L.P.
• Distinct Focus on Life, L.P.
• Dmctx2, PLLC
• Jennifer Nguyen Doan, O.D.
• Robert H Doan Jr., FNP

• Physical Therapist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.