MR. JAN CLARENCE GUTIERREZ DIMLA PT
NPI 1215455027
Physical Therapist in Danville, IL

Active since August 31, 2017Accepts Medicare Assignment
14792 CATLIN TILTON RD, DANVILLE, IL 61834(217) 443-6430 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jan Clarence Gutierrez Dimla Pt NPPES

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

MR. JAN CLARENCE GUTIERREZ DIMLA PT (NPI 1215455027) is an individual physical therapist in Danville, Illinois, licensed in Illinois (070022794) and active in the NPI registry since August 2017. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1215455027
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JAN CLARENCE GUTIERREZ DIMLACredential: PT
Location Address14792 CATLIN TILTON RDDanville, IL 61834-5116
Mailing Address702 Luria LnChampaign, IL 61822-1107 · (217) 550-9634
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2017
NPI 1215455027 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
License Licensed in IL · 070022794
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.
14792 CATLIN TILTON RD, Danville, IL 61834

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

Mr. Jan Clarence Gutierrez Dimla Pt 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 ID4587197678
PECOS Enrollment IDI20241028003780

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61834 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
14792 CATLIN TILTON RD
DANVILLE, IL 61834
Physical Therapist
14792 CATLIN TILTON RD
DANVILLE, IL 61834
Social Worker (Clinical)
14792 CATLIN TILTON RD
DANVILLE, IL 61834
Skilled Nursing Facility
14792 CATLIN TILTON RD
DANVILLE, IL 61834

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 Jan Clarence Dimla's NPI number?

The NPI number for Jan Clarence Dimla is 1215455027. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Jan Clarence Dimla located?

Jan Clarence Dimla practices at 14792 Catlin Tilton Rd, Danville, IL 61834. The listed phone number is (217) 443-6430.

What is Jan Clarence Dimla's specialty?

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

Is Jan Clarence Dimla enrolled in Medicare?

Yes. Jan Clarence Dimla 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 Jan Clarence Dimla was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.