Individual provider Active NPI

Emily Waye Dalton, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1245758481
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1294961 Issued in TX
Practice address
3204 Collinsworth St
Fort Worth, TX 76107-6528
Phone
(832) 723-8347
Fax
(817) 582-4266
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 1294961 TX Primary

Addresses

Primary practice location

3204 Collinsworth St
Fort Worth, TX 76107-6528

Mailing address

PO Box 1805
Fort Worth, TX 76101-1805
Phone (832) 723-8347

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
1294961TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Wellness Consulting, Inc. Physical Therapist CurrentSince Mar 21, 2021 Accepting new patients
Physiokids, LLC Current Accepting new patients

Locations

3204 Collinsworth St
Ft Worth, TX 76107
Phone (817) 810-0090

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1245758481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761011805",
            "telephone_number": "832-723-8347",
            "fax_number": "817-582-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 COLLINSWORTH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076528",
            "telephone_number": "832-723-8347",
            "fax_number": "817-582-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "EMILY",
        "middle_name": "WAYE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.