Active NPI
Timothy Lamont Dalton, MSPT
- Orthopedic Physical Therapist
- Clayton, NC
National Provider Identifier
1013979574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9028
- Practice address
- 11704 US Highway 70 W
Clayton, NC 27520-2273 - Phone
- (919) 359-0955
- Fax
- (919) 359-0985
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9028 | NC | Primary |
Addresses
Primary practice location
11704 US Highway 70 W
Clayton, NC 27520-2273
Mailing address
8156 Rolling Glenn Dr
Raleigh, NC 27616-8694
Phone (919) 373-9283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9028 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
11704 US 70 Hwy W
Clayton, NC 27520
Phone (919) 359-0955
11618 US Highway 70 W
Ste 208
Clayton, NC 27520
Phone (919) 359-0955
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1013979574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8156 ROLLING GLENN DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168694",
"telephone_number": "919-373-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11704 US HIGHWAY 70 W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202273",
"telephone_number": "919-359-0955",
"fax_number": "919-359-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "TIMOTHY",
"middle_name": "LAMONT",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "9028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.