Active NPI
James A Dallas, LPT
- Physical Therapist
- Lombard, IL
National Provider Identifier
1265465116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070002882
- Practice address
- 10 E 22ND St
Ste. #305
Lombard, IL 60148-4977 - Phone
- (630) 792-9790
- Fax
- (630) 792-9794
- NPI assigned
- Jul 7, 2006
- Last updated
- May 19, 2020
- Sex
- Male
- 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 | 070002882 | IL | Primary |
Addresses
Primary practice location
10 E 22ND St
Ste. #305
Lombard, IL 60148-4977
Mailing address
10 E 22ND St
Ste. #305
Lombard, IL 60148-4977
Phone (630) 792-9790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650018881 | Other | IL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone and Joint Center PC | Past | Accepting new patients | |
| Physical Therapy & Rehab Specialists, PC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1265465116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E 22ND ST",
"address_2": "STE. #305",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484977",
"telephone_number": "630-792-9790",
"fax_number": "630-792-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 22ND ST",
"address_2": "STE. #305",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484977",
"telephone_number": "630-792-9790",
"fax_number": "630-792-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAS",
"first_name": "JAMES",
"middle_name": "A",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070002882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "650018881",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.