Active NPI
Idel Q Dalina, RPT
- Physical Therapist
- Terre Haute, IN
National Provider Identifier
1245308279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003440A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002212100B | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05003440A | IN | MD | Pediatric 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.