Active NPI
Dakota Kay, PT
- Physical Therapist
- Whiteriver, AZ
National Provider Identifier
1033767371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30801
- Practice address
- 200 W Hospital Dr
Whiteriver, AZ 85941-3606 - Phone
- (928) 383-3606
- NPI assigned
- Aug 29, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30801 | AZ | Primary |
Addresses
Primary practice location
200 W Hospital Dr
Whiteriver, AZ 85941-3606
Mailing address
P.O. Box 649
Fort Defiance, AZ 86504-0589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191017000690 | TX | Practitioner - Physical Therapist in Private Practice | 0244561587 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30801 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Thoreau Clinic | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinic/Center
- Cibecue, AZ
- NPI 1427335181
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1033767371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W HOSPITAL DR",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859413606",
"telephone_number": "928-383-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "DAKOTA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-29",
"last_updated": "2021-12-08",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.