Active NPI
Dale R Walton, PT
- Physical Therapist
- Lancaster, PA
National Provider Identifier
1497057095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005719L
- Practice address
- 2100 Harrisburg Pike
Suburban Outpatient Pavilion
Lancaster, PA 17604-3200 - Phone
- (717) 544-3103
- Fax
- (717) 544-3130
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PT005719L | PA | Primary |
Addresses
Primary practice location
2100 Harrisburg Pike
Suburban Outpatient Pavilion
Lancaster, PA 17604-3200
Mailing address
1009 Davis Dr
Lancaster, PA 17603-6507
Phone (717) 544-3103
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 |
|---|---|---|---|
| PT005719L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1497057095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 DAVIS DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176036507",
"telephone_number": "717-544-3103",
"fax_number": "717-544-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HARRISBURG PIKE",
"address_2": "SUBURBAN OUTPATIENT PAVILION",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176043200",
"telephone_number": "717-544-3103",
"fax_number": "717-544-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "DALE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005719L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.