MEDICARE: DIMLA PHYSICAL THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1689518052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIMLA PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	175 WILLOUGHBY ST APT 1P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5447
Country	:	US
Telephone Number	:	840-218-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 WILLOUGHBY ST APT 1P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5447
Country	:	US
Telephone Number	:	840-218-0068
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CHRISTOPHER JAMES VALENCIA DIMLA
Credential	:	PT
Telephone Number	:	840-218-0068

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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