Joel Andrew Daloz, DPT
Individual provider Active NPI Physical Therapist · Aurora, OH
NPI 1114332129 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1114332129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT019652 (OH)
- Practice address
- 108 Barrington Town Square Dr
Aurora, OH 44202-7792 - Phone
- (330) 562-1655
- Fax
- (234) 226-4218
- NPI assigned
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019652 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapist | 225100000X | PT019652 | OH | Yes |
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
Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.