Stephen J Daillak, RPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT27175 Issued in CA

Practice address

1191 Creston Rd Ste 115
Paso Robles, CA 93446-3033

Phone

(805) 239-3696

Fax

(805) 239-3697

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Physical Therapy IncGroup PAC ID 4688605470, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.95 of 100Reported as individual

Quality

84.27

Improvement activities

40

Cost

97.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• North County Physical Therapy,Inc.

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1649445180
  Medicare reassignment Care Compare group NPD
• North County Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Atascadero, CA
  • NPI 1063687531
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1497813133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CRESTON RD STE 115",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463033",
            "telephone_number": "805-239-3696",
            "fax_number": "805-239-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 CRESTON RD STE 115",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463033",
            "telephone_number": "805-239-3696",
            "fax_number": "805-239-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILLAK",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT27175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT271750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "ZZZ06333Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PT27175",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001411",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "PT27175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arisahi Crane
• Yvonne Lapp Cryns, RN, PMHNP
• Julia Cucinella, RDHAP
• Philana P Cunningham, MSN, FNP-BC
• Paula Diane Daillak, RN, PHN
• Mackenzie N Dake, PT
• John O. Davis, D.D.S.
• Duffy Charles De Graw, D.D.S.
• Maria C De Nysschen
• Jonelle Deering

• Physical Medicine & Rehabilitation Physician in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.