Active NPI
Trey Dulaney, PT, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1073947933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1234176
- Practice address
- 7227 E Baseline Rd Ste 129
Mesa, AZ 85209-5006 - Phone
- (480) 219-4790
- NPI assigned
- Aug 28, 2013
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1234176 | TX | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3113552 | TX |
Addresses
Primary practice location
7227 E Baseline Rd Ste 129
Mesa, AZ 85209-5006
Mailing address
25439 N Hackberry Dr
Phoenix, AZ 85083-2453
Phone (817) 909-5539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-6752 | Other | TX | MEDICARE FACILITY ID |
| 192079501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.24 of 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234176 | TX | MD | Physical Therapist |
| 3113552 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Care Inc | Current | Accepting new patients | |
| Wedgwood Eyecare PC | Past | Accepting new patients | |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
Locations
7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1073947933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25439 N HACKBERRY DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850832453",
"telephone_number": "817-909-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7227 E BASELINE RD STE 129",
"city": "MESA",
"state": "AZ",
"postal_code": "852095006",
"telephone_number": "480-219-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULANEY",
"first_name": "TREY",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1234176",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "3113552",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FACILITY ID",
"identifier": "45-6752",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192079501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.