Individual provider Active NPI

Dallis Shingler, PT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1366021206
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31701 Issued in AZ
Practice address
21391 N Lake Pleasant Pkwy Ste 1810
Peoria, AZ 85382-2000
Phone
(623) 334-8767
Fax
(623) 566-5993
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 LPT-31701 AZ Primary

Addresses

Primary practice location

21391 N Lake Pleasant Pkwy Ste 1810
Peoria, AZ 85382-2000

Mailing address

4005 N 13TH Ave
Phoenix, AZ 85013-3312
Phone (520) 247-8748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518000523 AZ Practitioner - Physical Therapist in Private Practice 4183033459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy LLCGroup PAC ID 6002247574, 5 clinicians

Practice addresses (Care Compare)

3116 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 829-7390

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
80
Improvement activities
40
Cost
78.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy, LLC Physical Therapist CurrentSince Dec 2, 2021 Accepting new patients
Desert Edge Physical Therapy LLC CurrentSince Mar 24, 2021 Accepting new patients

Locations

10100 W Lake Pleasant Pkwy
Ste 1300
Peoria, AZ 85382
Phone (623) 334-8767

21391 N Lake Pleasant Pkwy
Ste 1810
Peoria, AZ 85382
Phone (623) 289-2781

3116 N Swan Rd
Tucson, AZ 85712
Phone (520) 260-1243

Organizations & group practices 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1366021206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N 13TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133312",
            "telephone_number": "520-247-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21391 N LAKE PLEASANT PKWY STE 1810",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822000",
            "telephone_number": "623-334-8767",
            "fax_number": "623-566-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGLER",
        "first_name": "DALLIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.