Active NPI
Kevin Dao
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1063804565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024048
- Practice address
- 2601 Holme Ave
Philadelphia, PA 19152-2007 - Phone
- (215) 335-6000
- NPI assigned
- Feb 21, 2015
- 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 | PT024048 | PA | Primary |
Addresses
Primary practice location
2601 Holme Ave
Philadelphia, PA 19152-2007
Mailing address
6774 Chew Ave
B
Philadelphia, PA 19119-1918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
300 Welsh Rd
Bldg 1
Horsham, PA 19044
Organizations & group practices 1
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 Therapist
- Horsham, PA
- NPI 1528689445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424476800000",
"number": "1063804565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6774 CHEW AVE",
"address_2": "B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 HOLME AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522007",
"telephone_number": "215-335-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-21",
"last_updated": "2015-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.