Individual provider Active NPI

Emelda C Dinopol, PT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1487670154
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10906 Issued in FL
Practice address
6 Florida Park Dr N
Suite C
Palm Coast, FL 32137-3890
Phone
(386) 447-7824
Fax
(386) 447-7864
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 PT10906 FL Primary

Addresses

Primary practice location

6 Florida Park Dr N
Suite C
Palm Coast, FL 32137-3890

Mailing address

1 Florida Park Dr N Ste 110
Palm Coast, FL 32137-3844
Phone (386) 447-7824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000815 FL Practitioner - Physical Therapist in Private Practice 3577591940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Florida Park Dr N
Suite 110
Palm Coast, FL 32137-3844
Phone (386) 447-7824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0010906FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Professionals & Associates, Inc. Physical Therapist CurrentSince Jul 1, 2001 Accepting new patients

Locations

84 Pinnacles Dr
Ste 300
Palm Coast, FL 32164
Phone (386) 437-3535

1 Florida Park Dr N
Ste 110
Palm Coast, FL 32137
Phone (386) 445-3619

6 Florida Park Dr N
Ste C
Palm Coast, FL 32137
Phone (386) 447-7824

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1487670154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLORIDA PARK DR N STE 110",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373844",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FLORIDA PARK DR N",
            "address_2": "SUITE C",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373890",
            "telephone_number": "386-447-7824",
            "fax_number": "386-447-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINOPOL",
        "first_name": "EMELDA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.