DEVLIN ALEXANDER DIZACOMO (NPI# 1023593902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593902 |
| Entity Type | Individual |
| Full Name | DEVLIN ALEXANDER DIZACOMO |
| Credential | DPT |
| Practice Address |
121 Everett Rd Ste 200 Albany NY 12205-1447 |
| Mailing Address |
11 Houseman Ave Chatham NY 12037-1409 |
| Practice Telephone | 5184892524 |
| Practice Fax Number | 5184893167 |
| Mailing Telephone | 5189358896 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 043117 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
121 EVERETT RD STE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205055852 | Aaron Joseph Stewart | Occupational Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2007-04-24 |
| 1326649104 | Steven D Kiak | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2020-11-06 |
| 1942843487 | Kevin R Drury | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2019-10-28 |
| 1003460429 | Yuan Kenneth Jin | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2019-07-25 |
| 1407331564 | Anthony Vincent John | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2018-09-25 |
| 1508348814 | Justin David Leva | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2018-09-04 |
| 1275058166 | John Busque | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2017-08-11 |
| 1013316702 | Peter Conboy | Physical Therapist | 121 Everett Rd Ste 200, Albany, NY 12205-1447 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542758 | Sita Shijie Sweet Wong | Physical Therapist | 718 Evelyn Ave, Albany, CA 94706-1707 | 2020-09-11 |
| 1801408885 | Clare Marie Herubin | Physical Therapist | 21 Fleetwood Ave, Albany, NY 12208-2307 | 2020-08-20 |
| 1386261063 | Yung-en Perng | Physical Therapist | 1241 Solano Ave Apt 24, Albany, CA 94706-1742 | 2020-06-29 |
| 1497381164 | Albany Physical Therapy Ltd Co | Physical Therapist | 445 Kenshalo St, Albany, TX 76430 | 2020-03-13 |
| 1790343325 | Jennifer Lynn Knox | Physical Therapist | 747 Madison Ave Ste 1, Albany, NY 12208-3385 | 2019-05-29 |
| 1043774839 | Anmare Sumaylo Catalan | Physical Therapist | 43 New Scotland Avenue, Mail Code 103, Albany, NY 12208-3479 | 2019-01-25 |
| 1093290066 | Jessica Nicole Nutter | Physical Therapist | 3 Atrium Dr Ste 110, Albany, NY 12205-1417 | 2018-09-26 |
| 1427545573 | Positive Motion Physical Therapy, Pllc | Physical Therapist | 21a Railroad Ave Ste B, Albany, NY 12205-5931 | 2018-04-15 |
| 1417493511 | Beth Markowitz | Physical Therapist | 407 Cornell Ave, Apt 12, Albany, CA 94706-1262 | 2017-01-12 |
| 1619410206 | Mackenzie Trevellyan | Physical Therapist | 1873 Western Ave Ste 102, Albany, NY 12203-5028 | 2016-11-30 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.