Active NPI
Dallan Valle, DPT
- Physical Therapist
- Spring Creek, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4335
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4335 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G Berry Jr Elko Chartered LLC | Current | Accepting new patients | |
| First Choice Physical Therapy | Physical Therapist | Current | Accepting new patients |
| First Choice Physical Therapy, Inc | Past | 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
- 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.
-
- Physical Therapist
- Elko, NV
- NPI 1801336169
-
dba Elko Spine and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Elko, NV
- NPI 1386986206
-
- Physical Therapy Clinic/Center
- Petoskey, MI
- NPI 1619031010
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.