Dalton A Boatright

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30928 Issued in FL

Practice address

1550 Killingsworth Way
The Villages, FL 32162-2175

Phone

(352) 633-2971

NPI assigned

May 3, 2021

Last updated

May 3, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1437732914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SE 150TH ST",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344913991",
            "telephone_number": "352-207-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 KILLINGSWORTH WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622175",
            "telephone_number": "352-633-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "DALTON",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30928",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Blakemore, APRN, FNP-C
• Linda Marlene Bleecker, ARNP
• Block Medical Consulting LLC (The Center For Health Change)
• Hugo Bloise, MD
• Barton R Blumberg, D.M.D.
• Karin Laura Bodor, DMD
• Karen M Bolderman, RD, LDN, CDE
• Joanna Grace Bolton, M.D.
• Patti Bonnie, LMT,NCBTMB
• Paul E Boor, MD

• Physical Therapy Assistant in The Villages, FL
• Providers in The Villages, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.