Active NPI
Dale Evon Hults, P.T.
- Physical Therapist
- Mayfield, NY
National Provider Identifier
1245516483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004887-1
- Practice address
- 81 North Main St.
Mayfield, NY 12117 - Phone
- (518) 661-5352
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004887-1 | NY | Primary |
Addresses
Primary practice location
81 North Main St.
Mayfield, NY 12117
Mailing address
167 Northwoods Club Rd
Minerva, NY 12851-2046
Phone (518) 251-4324
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 |
|---|---|---|---|
| 004887-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1245516483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 NORTHWOODS CLUB RD",
"city": "MINERVA",
"state": "NY",
"postal_code": "128512046",
"telephone_number": "518-251-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 NORTH MAIN ST.",
"city": "MAYFIELD",
"state": "NY",
"postal_code": "12117",
"telephone_number": "518-661-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTS",
"first_name": "DALE",
"middle_name": "EVON",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004887-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.