CASEY NICOLE DIZINNO – Physical Therapist, NPI 1770051476

CASEY NICOLE DIZINNO is a healthcare provider. based in Waterbury, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 14121 (CT). The NPI Number for CASEY NICOLE DIZINNO is 1770051476

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CASEY NICOLE DIZINNO
NPI
1770051476
Phone
(203) 695-4312
Address
24 ROOSEVELT DR
Enumeration Date
12 November 2018
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605855800
Graduation Year
2023 (3 years ago)
PAC ID
9133582547
Group Practice PAC ID
4385537075
Professional Enrollment ID
I20230901001709
Address ID
CT060106960BR72XXXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for CASEY NICOLE DIZINNO

  • 24, Roosevelt Drive, Waterbury, New Haven County, Connecticut, 06708, United States

    WATERBURY, CT 067084501

    Phone: (203) 695-4312

    Type: Mailing

  • 72 Pine St Unit A

    Bristol, CT 060106960

    Phone: (860) 585-5800

    Type: Location

  • 1090 MERIDEN WATERBURY TPKE

    PLANTSVILLE, CT 064792055

    Phone: (203) 272-8490

    Fax: (203) 272-8474

    Type: Location

  • 72 PINE ST UNIT A

    BRISTOL, CT 060106960

    Phone: (860) 585-5800

    Type: Mailing

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: 2023-09-01

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
I20230901001709IPhysical Therapist In Private PracticeCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06708)

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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: 4385537075View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What unique ID ties claims to CASEY NICOLE DIZINNO?
NPI 1770051476 is assigned to CASEY NICOLE DIZINNO under the national enumeration system.
Is CASEY NICOLE DIZINNO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CASEY NICOLE DIZINNO?
The page reflects Physical Therapist for CASEY NICOLE DIZINNO. Clinical services aligned with this taxonomy classification.
Where does public data place CASEY NICOLE DIZINNO?
The snapshot lists Waterbury, Connecticut for CASEY NICOLE DIZINNO; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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