Individual provider Active NPI

Casey Nicole Dizinno

  • Physical Therapist
  • Plantsville, CT
National Provider Identifier
1770051476
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14121 Issued in CT
Practice address
1090 Meriden Waterbury Tpke
Plantsville, CT 06479-2055
Phone
(203) 272-8490
Fax
(203) 272-8474
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14121 CT Primary

Addresses

Primary practice location

1090 Meriden Waterbury Tpke
Plantsville, CT 06479-2055

Mailing address

72 Pine St Unit a
Bristol, CT 06010-6960
Phone (860) 585-5800

Other practice location 1

72 Pine St Unit A
Bristol, CT 06010-6960
Phone (860) 585-5800

Other identifiers 1

IdentifierTypeStateIssuer
216213OtherOPTUM HEALTH PHYSICAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901001709 CT Practitioner - Physical Therapist in Private Practice 9133582547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center of Bristol LLCGroup PAC ID 4385537075, 6 clinicians

Practice addresses (Care Compare)

72 Pine St
Unit a
Bristol, CT 06010-6960
Phone (860) 585-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Bristol, LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

72 Pine St
Unit A
Bristol, CT 06010
Phone (860) 585-5800

1090 Meriden Waterbury Tpke
Plantsville, CT 06479
Phone (203) 272-8490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1770051476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PINE ST UNIT A",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106960",
            "telephone_number": "860-585-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN WATERBURY TPKE",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064792055",
            "telephone_number": "203-272-8490",
            "fax_number": "203-272-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Pine St Unit A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106960",
            "country_code": "US",
            "telephone_number": "860-585-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIZINNO",
        "first_name": "CASEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH PHYSICAL HEALTH",
            "identifier": "216213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.