Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DIZON, PT, DPT, NCS
DeactivatedPhysical Therapy Assistant · SANTA MONICA, CA
This NPI has been deactivated.
The record was deactivated on February 14, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912637992
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2022 (0.67397260273973 yrs)
- Last Updated
- May 27, 2025
- Deactivated
- Feb 14, 2023
- License
-
291629 (CA)
Practice Information
- Address
-
1301 20TH ST STE 300ASANTA MONICA, CA, 904042050Browse CA providers · Browse ZIP 90404
- Phone
- 3105827111
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JOYCE NISHIMOTO WILKINSON | PT | 1053395095 |
| MR. JEFFREY LEE BLAKE | PT | 1407834781 |
| MR. JOHN LOO JOE | PT | 1386622686 |
| JOHN DRAVILLAS | PT, MTC | 1386613750 |
| ALISON HANSON | PT | 1386613677 |
| MICHAEL ALLAN ANDERSEN | D.P.T. | 1013979434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.