EARL NORBERT O. DIMAANO DPT
NPI 1063008357
Physical Therapist - Geriatrics in Jacksonville, FL
About Earl Norbert O. Dimaano Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EARL NORBERT O. DIMAANO DPT (NPI 1063008357) is an individual geriatrics provider in Jacksonville, Florida, licensed in Florida (PT36611) and active in the NPI registry since December 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Earl Norbert O. Dimaano Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Earl Norbert Dimaano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Altamonte Springs, FL 32714
- Reassigned Medicare billing, Florida enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Earl Norbert Dimaano's NPI number?
The NPI number for Earl Norbert Dimaano is 1063008357. It was assigned to this individual provider in the NPPES registry on December 21, 2020.
Where is Earl Norbert Dimaano located?
Earl Norbert Dimaano practices at 7451 103rd St Ste 12, Jacksonville, FL 32210. The listed phone number is (904) 771-3679.
What is Earl Norbert Dimaano's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.
Is Earl Norbert Dimaano enrolled in Medicare?
Yes. Earl Norbert Dimaano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Earl Norbert Dimaano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Earl Norbert Dimaano reassigns Medicare benefits to Axiomhealth Management LLC (Altamonte Springs, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Earl Norbert Dimaano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Earl Norbert Dimaano was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Earl Norbert O. Dimaano, DPT · NPI 1063008357
Geriatrics provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since December 21, 2020.
## Identity
- **NPI:** 1063008357 (Entity type: Individual)
- **Enumerated:** December 21, 2020
- **Primary specialty:** Physical Therapist - Geriatrics · taxonomy 2251G0304X
- **State license:** PT36611 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 7451 103RD ST STE 12, Jacksonville, FL 32210-6788
- **Phone:** (904) 771-3679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Axiomhealth Management LLC (NPI 1912456799, Altamonte Springs, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063008357) · Data from the CMS NPPES public registry.