Donna Pharo Dykes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00147700 Issued in NJ

Practice address

22 W Jimmie Leeds Rd
Galloway, NJ 08205-9422

Phone

(609) 652-9270

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285842245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ROOSEVELT BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082032703",
            "telephone_number": "609-266-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059422",
            "telephone_number": "609-652-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "DONNA",
        "middle_name": "PHARO",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00147700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Donato
• Karen Doran, LSW
• Douglas J. Kelley, Inc.
• Dr. Bill Ross, DC, LLC
• Johanna Rose Durazzi, LSW
• East Coast Chiropractic and Rehab Center
• East Coast Orthopedics
• Mona Elgenaidi, M.D.
• Emma L Bryan DPM
• Kelly R Emmer, M.S. CCC-SLP

• Physical Therapy Assistant in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.