Active NPI
Ilio Marcello Dimascio, DPT
- Physical Therapist
- Belmont, NC
National Provider Identifier
1669184362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16693
- Practice address
- 1212 Spruce St Ste 305D
Belmont, NC 28012-3386 - Phone
- (704) 671-5730
- NPI assigned
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 | P16693 | NC | Primary |
Addresses
Primary practice location
1212 Spruce St Ste 305D
Belmont, NC 28012-3386
Mailing address
1212 Spruce St Ste 305D
Belmont, NC 28012-3386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Spruce St
Suite 305D
Belmont, NC 28012-3386
Phone (704) 671-5730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16693 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Past | Accepting new patients |
Locations
1212 Spruce St
Ste 305D
Belmont, NC 28012
Phone (704) 671-5730
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Family Medicine Physician
- McAdenville, NC
- NPI 1003097023
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Family Medicine Physician
- Stanley, NC
- NPI 1245419845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1669184362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 SPRUCE ST STE 305D",
"city": "BELMONT",
"state": "NC",
"postal_code": "280123386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 SPRUCE ST STE 305D",
"city": "BELMONT",
"state": "NC",
"postal_code": "280123386",
"telephone_number": "704-671-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMASCIO",
"first_name": "ILIO",
"middle_name": "MARCELLO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P16693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.