Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesiree Mae Dizon, PT

Individual provider Physical Therapist · NPI 1154966919

Jesiree Mae Dizon, PT is a Physical Therapist in Private Practice in Waipahu, Hawaii. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

94-216 Farrington Hwy # A-102
Waipahu, HI 96797-1922
Phone: (808) 600-9148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 299906 (CA)

Record details

NPI number1154966919
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2019
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address200 N Robertson Blvd, Ste 301, Beverly Hills, CA 90211-6001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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