MR. JAN CLARENCE GUTIERREZ DIMLA PT
NPI 1215455027
Physical Therapist in Danville, IL
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.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jan Clarence Gutierrez Dimla Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jan Clarence Dimla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Riverside, IL 60546
- Reassigned Medicare billing, Illinois enrollment
- 440 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.
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.
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 enrollment system.
Which organization bills Medicare for Jan Clarence Dimla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jan Clarence Dimla reassigns Medicare benefits to Comprehensive Therapeutics Ltd (North Riverside, IL). 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 Jan Clarence Dimla'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 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 9 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.