Active NPI
Dexter Dai, DPT
- Physical Therapist
- Placentia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40489
- Practice address
- 640 S Placentia Ave
Placentia, CA 92870-6300 - Phone
- (714) 579-7772
- Fax
- (714) 579-7781
- NPI assigned
- Aug 26, 2013
- Last updated
- Feb 18, 2014
- 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 | 40489 | CA | Primary |
Addresses
Primary practice location
640 S Placentia Ave
Placentia, CA 92870-6300
Mailing address
1500 S Gladys Ave
San Gabriel, CA 91776-3628
Phone (626) 200-5917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone (808) 373-3555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40489 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosport Hawaii, LLC | Current | Accepting new patients | |
| Orthosport Physical Therapy | Current | Accepting new patients | |
| JM Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
400 Keawe St
Ste 102
Honolulu, HI 96813
Phone (808) 208-8822
5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114
745 Fort St
Ste 105
Honolulu, HI 96813
Phone (808) 373-3555
745 Fort St
Ste 116
Honolulu, HI 96813
Phone (808) 373-3555
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.
-
- Orthopedic Physical Therapist
- Honolulu, HI
- NPI 1619147543
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Honolulu, HI
- NPI 1811585524
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1558658336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1710311857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S GLADYS AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763628",
"telephone_number": "626-200-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S PLACENTIA AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706300",
"telephone_number": "714-579-7772",
"fax_number": "714-579-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAI",
"first_name": "DEXTER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
- Eric Scott Cuesta, P.T.A.
- Yisel Cuevas
- Megan Cullen
- Nicole Magdaleno Cully, LMFT
- Curts C. Rouanzoin PH.D. & Associates, Inc a Psychological Corporation (Curtis C. Rounazoin PhD & Associates, Inc)
- Deandre Daniels
- Paul Marc Daniels, BA PSYCHOLOGY
- David a. Thomas MD Inc
- David Alley DDS Apc
- Jeffrey Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.