Individual provider Active NPI

Dawn M Standley, PT, DPT

  • Physical Therapist
  • Rogersville, AL
National Provider Identifier
1689631632
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8745 Issued in AL
Practice address
16390 Highway 72
Rogersville, AL 35652-8103
Phone
(256) 247-1708
Fax
(256) 247-5798
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01853 MO
Physical Therapist 225100000X PTH8745 AL Primary

Addresses

Primary practice location

16390 Highway 72
Rogersville, AL 35652-8103

Mailing address

199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (256) 247-1708

Other practice location 1

5816 Osage Beach Pkwy
Suite 102
Osage Beach, MO 65065-3046
Phone (573) 348-4004

Other identifiers 2

IdentifierTypeStateIssuer
483367413MedicaidMO
000025407OtherMOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8745ALMDPhysical Therapist
01853MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Physical Therapy, L.L.C. Physical Therapist CurrentSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1689631632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "256-247-1708",
            "fax_number": "256-247-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528103",
            "telephone_number": "256-247-1708",
            "fax_number": "256-247-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5816 Osage Beach Pkwy",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650653046",
            "country_code": "US",
            "telephone_number": "573-348-4004",
            "fax_number": "573-348-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDLEY",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01853",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483367413",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000025407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.