Active NPI
Dale James Cordial, P.T.
- Physical Therapist
- Greensburg, PA
National Provider Identifier
1295795995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003251L
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016000620004 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT003251L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Group Acquisition LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Greensburg, PA
- NPI 1780614453
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.