Organization Active NPI

Dailey Therapy, LLC

  • Clinic/Center
  • Port Saint Joe, FL
National Provider Identifier
1275268294
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAILEY THERAPY, LLC
Practice address
113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745
Phone
(561) 351-8741
Fax
(850) 743-4088
NPI assigned
Jul 22, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Matthew Dailey, DPTNPI 1659615813
Title
Doctor of Physical Therapy
Phone
(850) 544-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Physical Therapist 225100000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745

Mailing address

113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745
Phone (561) 351-8741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213001588 FL Part B Supplier - Clinic/Group Practice 0648700146 Receives reassigned benefits from 2 practitioners
Practice locations: Port Saint Joe, FL

National Provider Directory

National Provider Directory

Locations

106 Sailors Cove Dr
#B
Port Saint Joe, FL 32456
Phone (850) 544-2197

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1275268294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GULF TERRACE LN",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324564745",
            "telephone_number": "561-351-8741",
            "fax_number": "850-743-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GULF TERRACE LN",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324564745",
            "telephone_number": "561-351-8741",
            "fax_number": "850-743-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILEY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "850-544-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.

Verify at the official NPI Registry.