Individual provider Active NPI

Dallan Valle, DPT

  • Physical Therapist
  • Spring Creek, NV
National Provider Identifier
1700495280
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4335 Issued in NV
Practice address
248 Country Club Pkwy
Spring Creek, NV 89815
Phone
(775) 777-1276
Fax
(775) 777-7022
NPI assigned
Jul 30, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 4335 NV Primary

Addresses

Primary practice location

248 Country Club Pkwy
Spring Creek, NV 89815

Mailing address

250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005000639 NV Practitioner - Physical Therapist in Private Practice 9638598006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert G Berry Jr Elko Chartered LLCGroup PAC ID 0446573380, 9 clinicians
First Choice Physical TherapyGroup PAC ID 8921384611, 8 clinicians

Practice addresses (Care Compare)

2219 N 5TH St
Suite a
Elko, NV 89801-2473
Phone (775) 777-9669

248 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4335NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Berry Jr Elko Chartered LLC CurrentSince Mar 9, 2023 Accepting new patients
First Choice Physical Therapy Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients
First Choice Physical Therapy, Inc PastSince Aug 2, 2020 Accepting new patients

Locations

2072 Idaho St
Elko, NV 89801
Phone (775) 254-8618

2219 N 5th St
Elko, NV 89801
Phone (775) 777-9669

2219 N 5th St
Ste A
Elko, NV 89801
Phone (775) 777-1224

248 Country Club Pkwy
Spring Creek, NV 89815
Phone (775) 254-8587

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1700495280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "89815",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "DALLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.