James Mejica Dionisio, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-20879 Issued in CA

Practice address

3041 Rose Ave
San Jose, CA 95127-2886

Phone

(916) 718-9557

NPI assigned

Mar 13, 2009

Last updated

Jan 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Health Pal, Corporation

  • Physical Therapy Clinic/Center
  • Elk Grove, CA
  • NPI 1164654836
  NPD (past) Authorized official
• Full Specturm Therapy Inc

  • Physical Therapist
  • Shingle Springs, CA
  • NPI 1538486683
  NPD (past)

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1659512119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ROSE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272886",
            "telephone_number": "916-629-4725",
            "fax_number": "916-880-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 ROSE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272886",
            "telephone_number": "916-718-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO",
        "first_name": "JAMES",
        "middle_name": "MEJICA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT-20879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT-20879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tram Ngoc Dinh
• Tran Ngoc Dinh
• Tuan Anh Dinh, D.C.
• Marli Diniz, LMFT
• Annlyle Josquin Diokno
• Tadesse Gebeyehu Dires
• Raven Dirzo
• Ashley Disalvo
• Samantha Colleen Disalvo
• Discharge Resource Group (Pediatric Resources)

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.