Active NPI
Joel Andrew Daloz, DPT
- Physical Therapist
- Aurora, OH
National Provider Identifier
1114332129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019652
- Practice address
- 108 Barrington Town Square Dr
Aurora, OH 44202-7792 - Phone
- (330) 562-1655
- Fax
- (234) 226-4218
- NPI assigned
- Jun 27, 2014
- Last updated
- Feb 18, 2022
- 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 Therapy Assistant | 225200000X | |||
| Physical Therapist | 225100000X | PT019652 | OH | Primary |
Addresses
Primary practice location
108 Barrington Town Square Dr
Aurora, OH 44202-7792
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Other practice location 1
835 Crater Lake Ave
Medford, OR 97504-6505
Phone (541) 773-7717
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 |
|---|---|---|---|
| PT019652 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1114332129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BARRINGTON TOWN SQUARE DR",
"city": "AURORA",
"state": "OH",
"postal_code": "442027792",
"telephone_number": "330-562-1655",
"fax_number": "234-226-4218"
}
],
"practiceLocations": [
{
"address_1": "835 Crater Lake Ave",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046505",
"country_code": "US",
"telephone_number": "541-773-7717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALOZ",
"first_name": "JOEL",
"middle_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.