William Kameron Dallas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-011036 Issued in AZ

Practice address

10245 N 92ND St
Scottsdale, AZ 85258-4563

Phone

(480) 767-0555

Fax

(480) 704-3373

NPI assigned

Sep 3, 2014

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 AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ati Holdings of Arizona, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  Medicare reassignment
• Rehab Institute of Scottsdale

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1104041094
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1316347776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "480-767-0555",
            "fax_number": "480-704-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584563",
            "telephone_number": "480-767-0555",
            "fax_number": "480-704-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "WILLIAM",
        "middle_name": "KAMERON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-011036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Rae Dalbey, OD
• Elisa Dalessandro, FNP-C
• Sarah Megan Daley, PT, DPT
• Dana Lee Dalgleish Mitchell
• Martha Lorena Dalke, LMT-29212
• Lynda C Dallyn, LCSW
• Richard Dalotto, FP
• Roxanne Dalpos, PHD, LPC, NCC
• Andrew Ryan Dalrymple
• Kaylie Nicole Dalton, PA-C

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.