NPIMap

Individual provider Active NPI

Dawn Dimitris Andalon, DPT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1629097795
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29362 Issued in CA
Practice address
171 Saxony Rd Ste 105
Encinitas, CA 92024-6776
Phone
(760) 503-4440
NPI assigned
Jul 19, 2006
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 29362 CA Primary
Orthopedic Physical Therapist 2251X0800X 60120 OR

Addresses

Primary practice location

171 Saxony Rd Ste 105
Encinitas, CA 92024-6776

Mailing address

171 Saxony Rd Ste 105
Encinitas, CA 92024-6776
Phone (760) 503-4440

Other names 1

  • Miss Dawn E Dimitris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andalon Physical Therapy, Inc Single Specialty Current Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Single Specialty PastSince Jun 15, 2015 Accepting new patients
Level 4 Physical Therapy & Performance, Inc. PastSince Jul 24, 2018 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Single Specialty PastSince Jun 29, 2016 Accepting new patients
RPM Rehab, Inc. Single Specialty Past Accepting new patients
Krpata Sports Therapy, Inc. Single Specialty Past Accepting new patients
Performance Physical Therapy and Sports Conditioning, Inc Physical Therapist PastSince Feb 24, 2013 Accepting new patients

Organizations & group practices 8

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1629097795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-503-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-503-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDALON",
        "first_name": "DAWN",
        "middle_name": "DIMITRIS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29362",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "60120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DIMITRIS",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.