DANICA DALMACION PT, DPT
NPI 1194489526
Physical Therapist in Effingham, IL

Active since October 21, 2021Accepts Medicare Assignment
204 GREENVIEW DR APT 5B, EFFINGHAM, IL 62401(347) 208-1172 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Danica Dalmacion Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANICA DALMACION PT, DPT (NPI 1194489526) is an individual physical therapist in Effingham, Illinois and active in the NPI registry since October 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1194489526
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDANICA DALMACIONCredential: PT, DPT
Location Address204 GREENVIEW DR APT 5BEffingham, IL 62401-3037
Mailing Address204 Greenview Dr Apt 5bEffingham, IL 62401-3037 · (347) 208-1172
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1194489526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
204 GREENVIEW DR APT 5B, Effingham, IL 62401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Danica Dalmacion Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456744952
PECOS Enrollment IDI20220204001421

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
72 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Danica Dalmacion's NPI number?

The NPI number for Danica Dalmacion is 1194489526. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Danica Dalmacion located?

Danica Dalmacion practices at 204 Greenview Dr Apt 5B, Effingham, IL 62401. The listed phone number is (347) 208-1172.

What is Danica Dalmacion's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Danica Dalmacion enrolled in Medicare?

Yes. Danica Dalmacion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Danica Dalmacion was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.