Active NPI
Emily Dyson
- Physical Therapist
- Carol Stream, IL
National Provider Identifier
1255110680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070027771
- Practice address
- 545 Belmont LN
Carol Stream, IL 60188-2467 - Phone
- (630) 523-8972
- NPI assigned
- Sep 25, 2023
- 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 | 070027771 | IL | Primary |
Addresses
Primary practice location
545 Belmont LN
Carol Stream, IL 60188-2467
Mailing address
698 Napa LN
Saint Charles, MO 63304-1444
Phone (314) 610-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Washington University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Belmont LN
Carol Stream, IL 60188-2467
Phone (630) 510-1515
800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group of South Carolina Inc | Physical Therapist | Current | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
1047 Anna Knapp Blvd
Mt Pleasant, SC 29464
Phone (843) 800-2754
Organizations & group practices 4
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.
-
- Physical Therapist
- Oak Park, IL
- NPI 1063784148
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1255110680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 NAPA LN",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633041444",
"telephone_number": "314-610-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BELMONT LN",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882467",
"telephone_number": "630-523-8972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSON",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070027771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.