Individual provider Active NPI

Kevin Patrick Dunn, P.T.

  • Physical Therapist
  • Honesdale, PA
National Provider Identifier
1073506598
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RT009331L Issued in PA
Practice address
232 Sunrise Ave
Honesdale, PA 18431-1085
Phone
(570) 251-8003
Fax
(570) 251-8005
NPI assigned
Aug 30, 2005
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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 RT009331L PA Primary

Addresses

Primary practice location

232 Sunrise Ave
Honesdale, PA 18431-1085

Mailing address

232 Sunrise Ave
Honesdale, PA 18431-1085
Phone (570) 251-8003

Other identifiers 7

IdentifierTypeStateIssuer
805660OtherMANAGED PHYSICAL NETWORK
DU1369770OtherPABLUE SHIELD
253890OtherHEALTH AMERICA
819228Other1ST PRIORITY NOLIMITS PT
P00172144OtherMEDICARE RR
818279Other1ST PRIORITY MOTION PT
9262293OtherPHCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001190 PA Practitioner - Physical Therapist in Private Practice 3870554355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physical Therapy and Wellness IncGroup PAC ID 8224304712, 8 clinicians

Practice addresses (Care Compare)

232 Sunrise Ave
Honesdale, PA 18431-1085
Phone (570) 251-8003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT009331LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jun 15, 2017 Accepting new patients
Comprehensive Physical Therapy, Inc Physical Therapist PastSince Oct 1, 1997 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jul 19, 2010 Accepting new patients

Locations

16 Maybrook Rd
Ste G
Campbell Hall, NY 10916

232 Sunrise Ave
Honesdale, PA 18431
Phone (570) 251-8003

232 Sunrise Ave
Ste 1
Honesdale, PA 18431
Phone (570) 251-8003

518 Route 6 and 209
Milford, PA 18337
Phone (570) 296-3333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1073506598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311085",
            "telephone_number": "570-251-8003",
            "fax_number": "570-251-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311085",
            "telephone_number": "570-251-8003",
            "fax_number": "570-251-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "RT009331L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICAL NETWORK",
            "identifier": "805660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DU1369770",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "253890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY NOLIMITS PT",
            "identifier": "819228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00172144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY MOTION PT",
            "identifier": "818279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9262293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.