Active NPI
Dale Keyworth PT PC
- Physical Therapy Clinic/Center
- Houston, TX
National Provider Identifier
1578725925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1009843
- Legal business name
- DALE KEYWORTH PT PC
- Practice address
- 5320 Dora St
Houston, TX 77005-1818 - Phone
- (713) 523-9482
- Fax
- (713) 523-9486
- NPI assigned
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale B Keyworth, PT, M ED
- Title
- Ceo
- Phone
- (713) 516-1443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1009843 | TX | Primary |
Addresses
Primary practice location
5320 Dora St
Houston, TX 77005-1818
Mailing address
5320 Dora St
Houston, TX 77005-1818
Phone (713) 523-9482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134102148 | Other | TX | INDIVIDUAL NPI |
| 1009843 | Other | TX | PHYSICAL THERAPIST LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1578725925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 DORA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051818",
"telephone_number": "713-523-9482",
"fax_number": "713-523-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 DORA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051818",
"telephone_number": "713-523-9482",
"fax_number": "713-523-9486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE KEYWORTH PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "KEYWORTH",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-516-1443",
"authorized_official_credential": "PT, M ED"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1009843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1134102148",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
"identifier": "1009843",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
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.