Individual provider Active NPI

Caleb Dodd, DPT

  • Physical Therapist
  • Smyrna, DE
National Provider Identifier
1154770675
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014448 Issued in DE
Practice address
207 Stadium St
Smyrna, DE 19977-2899
Phone
(919) 258-2714
Fax
(410) 648-4878
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014448 DE Primary
Physical Therapist 225100000X PT003629 WV

Addresses

Primary practice location

207 Stadium St
Smyrna, DE 19977-2899

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000576 DE Practitioner - Physical Therapist in Private Practice 6204120504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

1125 Forrest Ave
Suite 101
Dover, DE 19904-3483
Phone (302) 735-4900

1651-53 Pulaski Hwy
Bear, DE 19701-1453
Phone (302) 834-1550

26396 Bay Farm Rd
Unit 1
Millsboro, DE 19966-4993
Phone (302) 947-9662

551 S Red Haven Lane
Camden, DE 19901-6483
Phone (302) 697-4294

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014448DEMDPhysical Therapist
PT003629WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist PastSince Mar 22, 2020 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist PastSince Apr 17, 2017 Accepting new patients

Locations

207 Stadium St
Smyrna, DE 19977
Phone (302) 596-9752

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1154770675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STADIUM ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772899",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "CALEB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014448",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.