J.Dylan James, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007425 Issued in KY

Practice address

227 S Main St
Beaver Dam, KY 42320-2131

Phone

(270) 274-9221

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuller Physical TherapyGroup PAC ID 6507054889, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fuller Physical Therapy

  • Physical Therapist
  • Beaver Dam, KY
  • NPI 1477857423
  Medicare reassignment Care Compare group NPD
• The P.T. Place, Inc

  • Physical Therapy Clinic/Center
  • Leitchfield, KY
  • NPI 1306901020

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1265910251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470445",
            "telephone_number": "270-274-9221",
            "fax_number": "270-955-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423202131",
            "telephone_number": "270-274-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "J.DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "007425",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Counseling Services, LLC
• Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC
• Jennifer Nicole Horn, O.T.D.
• Angela R Hudnall, APRN
• Kasey Hutto, OTR/L
• Bridget Colette Johnson, ARNP
• Kelsey Diane Johnson, D.M.D.
• Kentucky Medical Care
• Tariq K Malik, M.D.
• Susan B Matthews, ARNP

• Physical Therapist in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.

Verify at the official NPI Registry.