Individual provider Active NPI

Dalton Thomasson, PT, DPT

  • Orthopedic Physical Therapist
  • Martin, TN
National Provider Identifier
1730925660
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
104 Oxford St
Martin, TN 38237-2428
Phone
(931) 996-9920
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

104 Oxford St
Martin, TN 38237-2428

Mailing address

104 Oxford St
Martin, TN 38237-2428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910000468 TN Practitioner - Physical Therapist in Private Practice 6103366844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

2060 Rhino Xing
Milan, TN 38358-5201
Phone (731) 613-2214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy LLC CurrentSince Jun 10, 2024 Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients
Dynamix Physical Therapy LLC PastSince Jun 3, 2025 Accepting new patients

Locations

2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722

111 N Central Ave
Centerville, TN 37033

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

529 High St
Huntingdon, TN 38344
Phone (731) 418-8100

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006

104 Oxford St
Martin, TN 38237
Phone (731) 587-3422

103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

17760 US Highway 64
Ste A
Somerville, TN 38068

128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221

1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1730925660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OXFORD ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OXFORD ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372428",
            "telephone_number": "931-996-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "DALTON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.