NPIMap

Organization Active NPI

Dash Therapy a Professional Corporation

  • Physical Therapy Clinic/Center
  • Visalia, CA
National Provider Identifier
1497963664
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
BL021941 Issued in CA
Legal business name
DASH THERAPY A PROFESSIONAL CORPORATION
Practice address
1827 S. Court St
Suite C
Visalia, CA 93277-5469
Phone
(559) 627-3274
Fax
(559) 627-3284
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mrs. Kimberly Carter Glick, CHTNPI 1376615542
Title
Secretary/Treasurer
Phone
(559) 627-3274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X BL021941 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1497963664 CA

Addresses

Primary practice location

1827 S. Court St
Suite C
Visalia, CA 93277-5469

Mailing address

1827 S Court St
Suite C
Visalia, CA 93277-5469
Phone (559) 627-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110902000515 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577733328 Receives reassigned benefits from 3 practitioners
Practice locations: Visalia, CA
O20111020000302 CA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 3577733328 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

1827 S Court St
Ste C
Visalia, CA 93277
Phone (559) 627-3274

2208 W Sunnyside Ave
Ste A
Visalia, CA 93277
Phone (559) 627-3274

2208 W Sunnyside Ave
Visalia, CA 93277
Phone (559) 627-3274

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1497963664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-627-3274",
            "fax_number": "559-627-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S. COURT ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-627-3274",
            "fax_number": "559-627-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "559-627-3274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "BL021941",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1497963664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.