Devlin Alexander Dizacomo, DPT
NPI 1023593902ActiveIndividual· Physical Therapist· Indio, CA
Physical Therapist (DPT) with Intermountain Medical Group Denver LLC and 1 other group, practicing in Indio, California. Medicare paid $19,411 for services to 46 patients in 2024.
Overview
| NPI | 1023593902 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 26, 2018 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT304810 | CA |
| Physical Therapist | 225100000X | 043117 | NY |
| Physical Therapist | 225100000X | PTL.0018134 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO); Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 990 across 8 procedure codes |
| Paid by Medicare | $19,411 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Intermountain Medical Group Denver LLCBroomfield, CO · 568 clinicians
- Colorado Luna Care Physical Therapy LLCDenver, CO · 212 clinicians
Other physical therapists in Indio
- 1134426299
- 1134661192
- 1265517148
- 1316617442
- 1356526099
- 1437193059
- 1508496712
- 1548699556
- 1679321590
- 1811744899
- 1871232561
- 1891413456
All 34 physical therapists in Indio · All physical therapists in California