NPIMap

Organization Active NPI

Dailey & Wilkerson Medical Group

  • Physical Therapist
  • Jasper, TX
National Provider Identifier
1184641102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DAILEY & WILKERSON MEDICAL GROUP
Practice address
1006 Dickerson Dr
Jasper, TX 75951-5111
Phone
(409) 383-5200
Fax
(409) 383-5202
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Yolanda Babineaux
Title
Office Manager
Phone
(409) 383-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1006 Dickerson Dr
Jasper, TX 75951-5111

Mailing address

PO Box 312
Jasper, TX 75951-0004

National Provider Directory

National Provider Directory

Locations

1006 Dickerson Dr
Jasper, TX 75951
Phone (409) 383-5200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184641102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759510004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 DICKERSON DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515111",
            "telephone_number": "409-383-5200",
            "fax_number": "409-383-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILEY & WILKERSON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABINEAUX",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-383-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.