Organization Active NPI

Dahlia City Collaborative LLC

  • Physical Therapy Clinic/Center
  • Zionsville, IN
National Provider Identifier
1114706728
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DAHLIA CITY COLLABORATIVE LLC
Practice address
3970 Rainford Ave
Zionsville, IN 46077-7979
Phone
(317) 691-2936
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kaylene Hernandez, PT, DPT, WCS, CLTNPI 1437011822
Title
Physical Therapist
Phone
(317) 691-2936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3970 Rainford Ave
Zionsville, IN 46077-7979

Mailing address

3970 Rainford Ave
Zionsville, IN 46077-7979
Phone (317) 691-2936

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1114706728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 RAINFORD AVE",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777979",
            "telephone_number": "317-691-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 RAINFORD AVE",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777979",
            "telephone_number": "317-691-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLIA CITY COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KAYLENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "317-691-2936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, WCS, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.