Active NPI
Dale Alan Claes, P.T.
- Physical Therapist
- Marion, OH
National Provider Identifier
1104895101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001591
- Practice address
- 1069 Delaware Ave
Suite 102
Marion, OH 43302-1400 - Phone
- (740) 382-1734
- Fax
- (740) 387-6918
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001591 | OH | Primary |
Addresses
Primary practice location
1069 Delaware Ave
Suite 102
Marion, OH 43302-1400
Mailing address
1069 Delaware Ave
Suite 102
Marion, OH 43302-1400
Phone (740) 382-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT001591 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1104895101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1069 DELAWARE AVE",
"address_2": "SUITE 102",
"city": "MARION",
"state": "OH",
"postal_code": "433021400",
"telephone_number": "740-382-1734",
"fax_number": "740-387-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1069 DELAWARE AVE",
"address_2": "SUITE 102",
"city": "MARION",
"state": "OH",
"postal_code": "433021400",
"telephone_number": "740-382-1734",
"fax_number": "740-387-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAES",
"first_name": "DALE",
"middle_name": "ALAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT001591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.