Individual provider Active NPI

James Dimascio, PT, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1982133039
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3552 Issued in NV
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

Updated by the provider on Jul 21, 2022

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 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 IDStateProvider typePAC IDDetails
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
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

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)

OrganizationSpecialtyStatusNew patients
Southland Physical Therapy, Inc. Physical Therapist CurrentSince Mar 8, 2021 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.

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.

Verify at the official NPI Registry.