BRAD DIMAGGIO – Physical Therapist, NPI 1720635121

BRAD DIMAGGIO is a healthcare provider. based in Costa mesa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for BRAD DIMAGGIO is 1720635121

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRAD DIMAGGIO
NPI
1720635121
Phone
(714) 556-1600
Address
1700 ADAMS AVE STE 201
Enumeration Date
20 August 2019
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9497228811
Graduation Year
2019 (7 years ago)
PAC ID
1153652797
Group Practice PAC ID
5799775490
Professional Enrollment ID
I20191011000673
Address ID
CA926600792NE20162STXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for BRAD DIMAGGIO

  • Adams Avenue, Mesa Verde, Costa Mesa, Orange County, California, 92646, United States

    COSTA MESA, CA 926264865

    Phone: (714) 556-1600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191011000673IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes3,733113$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,718112$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,150100$0
97530Therapy procedure using functional activities69152$0
97116Therapy procedure for walking training, each 15 minutes24514$0
View full utilization report →

Insurance plans in this area (ZIP 92626)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799775490View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What NPI should I save for BRAD DIMAGGIO?
Save NPI 1720635121 if you need a stable reference for BRAD DIMAGGIO.
Is BRAD DIMAGGIO active in the national directory?
BRAD DIMAGGIO's public NPI profile is in an active state.
What field does BRAD DIMAGGIO work in?
You can think of BRAD DIMAGGIO as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for BRAD DIMAGGIO?
We surface Costa Mesa, California for BRAD DIMAGGIO based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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