Active NPI
James Dimascio, PT, DPT
- Physical Therapist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3552
- Practice address
- 2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016 - Phone
- (702) 897-7331
- NPI assigned
- Jun 11, 2017
- 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 | 3552 | NV | Primary |
Addresses
Primary practice location
2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016
Mailing address
2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016
Phone (702) 897-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518000544 | CA | Practitioner - Physical Therapist in Private Practice | 3375815202 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2755 Bristol St
Suite 130
Costa Mesa, CA 92626-5985
Phone (714) 966-2950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2755 Bristol St
Ste 130
Costa Mesa, CA 92626
Phone (714) 966-2950
4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337
2170 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 384-4525
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Physical Therapist
- Irvine, CA
- NPI 1710150172
CA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982133039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 W HORIZON RIDGE PKWY STE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525016",
"telephone_number": "702-897-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 W HORIZON RIDGE PKWY STE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525016",
"telephone_number": "702-897-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMASCIO",
"first_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.