Active NPI
Jizelle Aika Dimalanta, PT
- Physical Therapist
- Skokie, IL
National Provider Identifier
1609378942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022997
- Practice address
- 8232 Niles Center Rd Apt 306
Skokie, IL 60077-2593 - Phone
- (224) 241-4609
- NPI assigned
- Mar 2, 2018
- Last updated
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.022997 | IL | Primary |
Addresses
Primary practice location
8232 Niles Center Rd Apt 306
Skokie, IL 60077-2593
Mailing address
8232 Niles Center Rd Apt 306
Skokie, IL 60077-2593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Transam Plaza Dr
Suite 100
Oakbrook Terrace, IL 60181-4286
Phone (630) 627-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- Oakbrook Terrace, IL
- NPI 1477738227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1609378942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8232 NILES CENTER RD APT 306",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8232 NILES CENTER RD APT 306",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772593",
"telephone_number": "224-241-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMALANTA",
"first_name": "JIZELLE AIKA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.