Active NPI
Terry Dalton
- Physical Therapist
- Gulfport, MS
National Provider Identifier
1346811072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT866
- Practice address
- 9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230 - Phone
- (228) 822-9066
- NPI assigned
- Jul 4, 2021
- Sex
- Female
- 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 | PT866 | MS | Primary |
Addresses
Primary practice location
9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230
Mailing address
13044 Turtle Creek Pkwy
Gulfport, MS 39503-5540
Phone (228) 326-3346
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT866 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625356800000",
"number": "1346811072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13044 TURTLE CREEK PKWY",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395035540",
"telephone_number": "228-326-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9471 THREE RIVERS RD STE D",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034230",
"telephone_number": "228-822-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "TERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-04",
"last_updated": "2021-07-04",
"certification_date": "2021-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.