Active NPIIndividual providerSole proprietor

Coleen Moira Dizon, LPTA

Physical Therapy Assistant in Newark, New Jersey

NPI Number1730705203
Practice location
5 Manor Dr Apt 3N, Newark, NJ 07106-3236
Fax
—
Last updated
June 22, 2020

Coleen Moira Dizon is a Physical Therapy Assistant based in Newark, NJ. Coleen Moira Dizon practices in Newark, NJ and has the professional credentials of LPTA. The NPI Number for Coleen Moira Dizon is 1730705203 and holds a License No. 40QB00365400 (NJ). The current practice location address for Coleen Moira Dizon is 5 Manor Dr Apt 3N, Newark, NJ 07106-3236 and can be reached out via phone at 858-900-7854.

Provider Profile Details

NPI Number
1730705203
Provider Name
Coleen Moira Dizon
Credential
LPTA
Provider Entity Type
Individual
Gender
Female
Address
5 Manor Dr Apt 3N, Newark, NJ 07106-3236
Phone Number
858-900-7854
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2020
Last Update Date
June 22, 2020
Certification Date
June 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Manor Dr Apt 3N
Newark, NJ 07106-3236
City
Newark
Zip
07106-3236
Phone Number
858-900-7854
Newark, NJ 07106Get directions →

Provider Business Mailing Address Details

Address
5 Manor Dr Apt 3N
Newark, NJ 07106-3236
City
Newark
State
NJ
Zip
07106-3236
Phone Number
858-900-7854

License Information

License Number
40QB00365400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Coleen Moira Dizon, LPTA?

The NPI number of Coleen Moira Dizon, LPTA is 1730705203. It was assigned on June 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Coleen Moira Dizon, LPTA?

Coleen Moira Dizon, LPTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00365400.

Where does Coleen Moira Dizon, LPTA practice?

The practice location is 5 Manor Dr Apt 3N, Newark, NJ 07106-3236. The office can be reached at 858-900-7854 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730705203 directly on the NPPES registry website.

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