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

Joseph Romero Dimatulac, PTA

Individual provider Physical Therapy Assistant · NPI 1962287797

Joseph Romero Dimatulac, PTA is a Physical Therapy Assistant in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

21536 Wolf Rd
Mokena, IL 60448-2089
Phone: (815) 464-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1962287797
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

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