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Active NPI 1023593902 Individual Practitioner Male Practitioner

Dr. Devlin Alexander Dizacomo , DPT

Physical Therapist • Indio, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Devlin Dizacomo, DPT is a certified Physical Therapist practicing in Indio, CA. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Dizacomo delivers high-quality medical care to the local community at 81557 DR CARREON BLVD STE C4.

Dr. Dizacomo maintains professional affiliations with Intermountain Medical Group Denver Llc, Colorado Luna Care Physical Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

81557 Dr Carreon Blvd Ste C4

Indio, CA 922015562

Telephone 7603476195
Fax 7603472849
Associated Practice Facility / Clinic
🏢 Cv Physical Therapy, Inc. Facility NPI 1013167527

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Indio, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -6.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Indio, CA (22820 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dizacomo (8 Years) 8 Yrs
Indio Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
310 35 $28.43 $22.89
97530 Therapy procedure using functional activities
207 44 $35.47 $31.33
97140 Therapy procedure using manual technique, each 15 minutes
194 39 $26.21 $19.96
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
144 26 $32.59 $26.32
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
67 16 $11.59 $8.45
97150 Therapy procedure in a group setting
47 26 $17.16 $13.00
97161 Evaluation of physical therapy, typically 20 minutes
17 17 $96.90 $93.92

Medical Specialties & State Licenses

CMS Verified: 2024-02-09
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License CA PT304810

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License NY 043117

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License CO PTL.0018134

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Intermountain Medical Group Denver Llc

None, Broomfield, CO 80021

Phone: 7208074461

Colorado Luna Care Physical Therapy Llc

None, Denver, CO 80246

Phone: 8665253175

Secondary Practice Locations

1076 Ribaut Rd Ste 102

Beaufort, SC 299025490

Phone: 8435250045

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Jasmine Gongora , DPT

Physical Therapist

NPI 1093590093

Doctor of Physical Therapy

Leo King , PT

Physical Therapist

NPI 1134426299

Physical Therapist

Ian Halderman , PT

Physical Therapist

NPI 1134661192

Physical Therapist

Sara Schuldt , PT

Physical Therapist

NPI 1184391955

Physical Therapist

Dr. Andrew Bowser , DPT

Physical Therapist

NPI 1316617442

Doctor of Physical Therapy

Dr. Vincent Kambe , DPT

Physical Therapist

NPI 1356526099

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Physical Therapist (License #043117 in NY)

📍
Updated Practice Location September 25, 2023

Registered at 81557 DR CARREON BLVD STE C4, INDIO, CA 922015562 (Tel: 7603476195)

📍
Updated Business Mailing Address September 25, 2023

Registered at 408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 934016135 (Tel: 8057880805)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Physical Therapist (License #PTL.0018134 in CO)

📍
Updated Practice Location July 01, 2022

Registered at 13659 E 104TH AVE UNIT 300, COMMERCE CITY, CO 800229402 (Tel: 7205065340)

📍
Updated Business Mailing Address July 01, 2022

Registered at 13659 E 104TH AVE UNIT 300, COMMERCE CITY, CO 800229402 (Tel: 5189358896)

📍
Updated Practice Location August 03, 2020

Registered at 121 EVERETT RD STE 200, ALBANY, NY 122051447 (Tel: 5184892524)

NPI Profile Active September 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2018

Registered at 1100 N KENTUCKY AVE, WEST PLAINS, MO 657752029 (Tel: 4172565959)

📍
Updated Business Mailing Address September 26, 2018

Registered at 11 HOUSEMAN AVE, CHATHAM, NY 120371409 (Tel: 5189358896)

👤
Provider Name / Credentials Updated September 26, 2018

Recorded as DEVLIN DIZACOMO, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Physical Therapist (License #043117 in NY)

🟢
Initial NPI Registration & Enumeration September 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023593902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2018
Last Update: February 09, 2024
Sole Proprietor: No

Mailing Address

408 Higuera St Ste 200

San Luis Obispo, CA 934016135

Phone: 8057880805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.