Individual provider Active NPI

Dale James Cordial, P.T.

  • Physical Therapist
  • Greensburg, PA
National Provider Identifier
1295795995
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003251L Issued in PA
Practice address
520 Pellis Rd
Suite 1000
Greensburg, PA 15601-4777
Phone
(724) 838-1008
Fax
(724) 832-1690
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003251L PA Primary

Addresses

Primary practice location

520 Pellis Rd
Suite 1000
Greensburg, PA 15601-4777

Mailing address

438 Pellis Rd
Suite 101
Greensburg, PA 15601-7900
Phone (724) 850-7587

Other identifiers 1

IdentifierTypeStateIssuer
0016000620004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003251LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Group Acquisition LLC Physical Therapist PastSince Nov 3, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1295795995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD",
            "address_2": "SUITE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-850-7587",
            "fax_number": "724-850-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PELLIS RD",
            "address_2": "SUITE 1000",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014777",
            "telephone_number": "724-838-1008",
            "fax_number": "724-832-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDIAL",
        "first_name": "DALE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003251L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016000620004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.