Individual provider Active NPI

Keith Scott Dalton, PT

  • Physical Therapist
  • New Iberia, LA
National Provider Identifier
1194891333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07080 Issued in LA
Practice address
1307 Old Jeanerette Rd
New Iberia, LA 70563-5800
Phone
(337) 367-3331
Fax
(337) 367-6494
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07080 LA Primary

Addresses

Primary practice location

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800

Mailing address

1307 Old Jeanerette Rd
New Iberia, LA 70563-5800
Phone (337) 367-3331

Other identifiers 1

IdentifierTypeStateIssuer
07080OtherLAPT LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000275 LA Practitioner - Physical Therapist in Private Practice 7214939610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Sports and Rehabilitation, LLC.Group PAC ID 8628005626, 4 clinicians

Practice addresses (Care Compare)

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5800

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5801
Phone (337) 367-3331

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
86.89
Improvement activities
40
Cost
72.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07080LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Sports and Rehabilitation, LLC. Physical Therapist CurrentSince Oct 26, 2006 Accepting new patients
Physiomed Partners, LLC Physical Therapist PastSince Feb 21, 2019 Accepting new patients

Locations

1307 Old Jeanerette Rd
Ste 102
New Iberia, LA 70563
Phone (337) 367-3331

1307 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 367-3331

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194891333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635800",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "KEITH",
        "middle_name": "SCOTT",
        "name_prefix": "Prof.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "07080",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.