Individual provider Active NPI

Dawnelle Jewell

  • Physical Therapist
  • Youngstown, OH
National Provider Identifier
1013380872
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015542 Issued in OH
Practice address
299 Edwards St
Youngstown, OH 44502-1504
Phone
(330) 743-1168
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015542 OH Primary

Addresses

Primary practice location

299 Edwards St
Youngstown, OH 44502-1504

Mailing address

PO Box 105
Orangeville, OH 44453-0105
Phone (330) 246-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230918003281 OH Practitioner - Physical Therapist in Private Practice 6305200734 Reassigns benefits to 1 organization
I20240129002487 PA Practitioner - Physical Therapist in Private Practice 6305200734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3150 Highland Rd
Unit 103
Hermitage, PA 16148-4516
Phone (724) 308-7644

761 N Main St
Hubbard, OH 44425-1125
Phone (330) 246-0572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015542OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Physical Therapy & Aquatics LLC Physical Therapist CurrentSince Oct 31, 2023 Accepting new patients
Afford a Care Chiropractic, Inc. Past Accepting new patients

Locations

761 N Main St
Hubbard, OH 44425
Phone (330) 246-0572

3150 Highland Rd
Unit 103
Hermitage, PA 16148
Phone (724) 308-7644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1013380872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "ORANGEVILLE",
            "state": "OH",
            "postal_code": "444530105",
            "telephone_number": "330-246-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021504",
            "telephone_number": "330-743-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "DAWNELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.