Active NPI
Cassandra Jane Dalton, DPT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1487212726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013411A
- Practice address
- 1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143 - Phone
- (317) 528-2018
- Fax
- (317) 528-2907
- NPI assigned
- Jun 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 99093443A | IN | |
| Physical Therapist | 225100000X | 05013411A | IN | Primary |
Addresses
Primary practice location
1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1201 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 831-1160
Other practice location 2
1201 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 831-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99093443A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99093443A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1487212726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 W STONES CROSSING RD STE 120",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "46143",
"telephone_number": "317-528-2018",
"fax_number": "317-528-2907"
}
],
"practiceLocations": [
{
"address_1": "1201 Hadley Rd",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461581737",
"country_code": "US",
"telephone_number": "317-831-1160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Hadley Rd",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461581737",
"country_code": "US",
"telephone_number": "317-831-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALTON",
"first_name": "CASSANDRA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-02",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "99093443A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013411A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "99093443A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.