IndividualActive
Melissa Kirstie Dizon, PTA
NPI 1255061990 · Physical Therapy Assistant · Olympia Fields, IL
Provider details
- NPI number
- 1255061990
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160008545 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone: (708) 852-2540
Fax: (708) 503-3221
Street-level locationGet directions
Mailing address
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-17
- Certified
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.