Individual provider Active NPI

Bridget Dalton

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1629757661
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1594124 Issued in WI
Practice address
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone
(847) 504-6910
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1594124 WI Primary

Addresses

Primary practice location

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473

Mailing address

12730 Lee CT
Elm Grove, WI 53122-1440
Phone (847) 504-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, AK, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240612004053 WA Practitioner - Physical Therapist in Private Practice 2264974609 Reassigns benefits to 1 organization
I20241010001659 CA Practitioner - Physical Therapist in Private Practice 2264974609 Reassigns benefits to 1 organization
I20250407003749 AK Practitioner - Physical Therapist in Private Practice 2264974609 Reassigns benefits to 1 organization
I20260120002764 CO Practitioner - Physical Therapist in Private Practice 2264974609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy LLCGroup PAC ID 7810090446, 9 clinicians
Body in Balance Physical Therapy IncGroup PAC ID 9739156936, 6 clinicians

Practice addresses (Care Compare)

6375 Lehman Dr
Suite 100
Colorado Springs, CO 80918-1427
Phone (719) 434-7044

642 S Alaska St
Suite 209
Palmer, AK 99645-6378
Phone (907) 746-0722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1594124WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 16, 2024 Accepting new patients
Body in Balance Physical Therapy Inc CurrentSince Feb 17, 2025 Accepting new patients
Dynamic Physical Therapy LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 16, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

642 S Alaska St
Ste 209
Palmer, AK 99645
Phone (907) 746-0722

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

2855 International Cir
Colorado Springs, CO 80910
Phone (719) 447-8822

5775 N Union Blvd
Colorado Springs, CO 80918
Phone (719) 434-7044

5775 N Union Blvd
Ste 200
Colorado Springs, CO 80918
Phone (719) 434-7044

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Interoperability endpoints

  • Direct secure messaging: bridget.dalton.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1629757661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 LEE CT",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531221440",
            "telephone_number": "847-504-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD STE 500",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195473",
            "telephone_number": "847-504-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1594124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.