IndividualActive
Jared Dicioco, PT
NPI 1538055181 · Orthopedic Physical Therapist · Los Angeles, CA
Provider details
- NPI number
- 1538055181
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 308208 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone: (323) 865-1200
Street-level locationGet directions
Mailing address
Po Box 31309
Los Angeles, CA 90031-0309
Registry dates
- Enumerated
- 2025-06-17
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.