Individual provider Active NPI

Idel Q Dalina, RPT

  • Physical Therapist
  • Terre Haute, IN
National Provider Identifier
1245308279
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003440A Issued in IN
Practice address
50 E Brookside Dr
Terre Haute, IN 47802-4804
Phone
(812) 299-0529
Fax
(812) 299-9779
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 05003440A IN Primary
Pediatric Physical Therapist 2251P0200X 05003440A IN

Addresses

Primary practice location

50 E Brookside Dr
Terre Haute, IN 47802-4804

Mailing address

50 E Brookside Dr
Terre Haute, IN 47802-4804
Phone (812) 299-0529

Other identifiers 1

IdentifierTypeStateIssuer
2002212100BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05003440AINMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245308279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E BROOKSIDE DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024804",
            "telephone_number": "812-299-0529",
            "fax_number": "812-299-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E BROOKSIDE DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024804",
            "telephone_number": "812-299-0529",
            "fax_number": "812-299-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALINA",
        "first_name": "IDEL",
        "middle_name": "Q",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003440A",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05003440A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002212100B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.