Philip Cameron Dale, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007549 Issued in KY

Practice address

1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139

Phone

(859) 293-6133

Fax

(859) 293-6730

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Murray, KY
  • NPI 1942948294

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1326515008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 122",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133",
            "fax_number": "859-293-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 122",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133",
            "fax_number": "859-293-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "PHILIP",
        "middle_name": "CAMERON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Dailey, MSW, LCSW
• Lily Victoria Daily, M.S. CF-SLP
• William Austin Dake, MD
• Satya Sai Dalavayi
• Crystal Dale, APRN
• Thomas Andrew Dale II, M.D.
• Gilroy Lane Daley Sr., M.D.
• Shari Elizabeth Daley, OTR
• Brooke Dalrymple
• Chadwick Dalton

• Physical Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.