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

Jessica Dizon, PT, DPT, NCS

Individual provider Neurology Physical Therapist · NPI 1912637992

Jessica Dizon, PT, DPT, NCS is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1301 20th St Ste 300A
Santa Monica, CA 90404-2050
Phone: (310) 582-7111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 291629 (CA)
Neurology Physical Therapist Taxonomy 2251N0400X

Record details

NPI number1912637992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , NCS
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESMay 27, 2025
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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