Earl Dimaandal, PT,DPT
Physical Therapist in Lufkin, TX. Individual provider (NPI-1).
NPI number1578029674
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1578029674
- Entity type
- Individual (NPI-1)
- Name
- Earl Dimaandal
- Credential
- PT,DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2019
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1226646 | TX | Yes |
Practice location
529 Gaslight BlvdLufkin, TX 75904-3127
Phone 936-404-7167
Mailing address
529 Gaslight BlvdLufkin, TX 75904-3127
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Physical Therapist providers in Lufkin · All 1,459 providers in Lufkin
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