Organization Active NPI

Dale Keyworth PT PC

  • Physical Therapy Clinic/Center
  • Houston, TX
National Provider Identifier
1578725925
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1009843 Issued in TX
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

Updated by the provider on Dec 2, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1134102148OtherTXINDIVIDUAL NPI
1009843OtherTXPHYSICAL THERAPIST LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.