| Jessica Dizon, PT, DPT, NCS | |
|
1301 20th St Ste 300a, Santa Monica, CA 90404-2050 | |
| (310) 582-7111 | |
| Not Available |
| Full Name | Jessica Dizon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1301 20th St Ste 300a, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912637992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 291629 (California) | Primary |
| Provider Name | Providence Saint Johns Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Dizon, PT, DPT, NCS 1301 20th St Ste 150, Santa Monica, CA 90404-2050 Ph: () - | Jessica Dizon, PT, DPT, NCS 1301 20th St Ste 300a, Santa Monica, CA 90404-2050 Ph: (310) 582-7111 |
Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540 | |
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910 | |
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606 | |
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 | |
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039 | |
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373 |