Active NPI
Dakota Ball
- Physical Therapist
- Lebanon, VA
National Provider Identifier
1760132708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212477
- Practice address
- 635 W Main St
Lebanon, VA 24266-3809 - Phone
- (276) 415-9880
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapist | 225100000X | 2305212477 | VA | Primary |
Addresses
Primary practice location
635 W Main St
Lebanon, VA 24266-3809
Mailing address
14570 U S Highway 19
Lebanon, VA 24266-6624
Phone (276) 794-2703
Other practice location 1
14570 U S Highway 19
Lebanon, VA 24266-6624
Phone (276) 794-2703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119000029 | VA | Practitioner - Physical Therapist in Private Practice | 8426549312 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
635 W Main St
Lebanon, VA 24266-3809
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305212477 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Play Hut PLLC | Physical Therapist | Current | Accepting new patients |
| Helping Hands Home Health Care, Inc. | Past | Accepting new patients |
Locations
635 W Main St
Lebanon, VA 24266
Phone (276) 415-9880
113 Short St
Ste 7
Pounding Mill, VA 24637
Phone (276) 415-9880
Organizations & group practices 2
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.
-
- Home Health Agency
- Pounding Mill, VA
- NPI 1922170737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1760132708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14570 U S HIGHWAY 19",
"city": "LEBANON",
"state": "VA",
"postal_code": "242666624",
"telephone_number": "276-794-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W MAIN ST",
"city": "LEBANON",
"state": "VA",
"postal_code": "242663809",
"telephone_number": "276-415-9880"
}
],
"practiceLocations": [
{
"address_1": "14570 U S Highway 19",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "VA",
"postal_code": "242666624",
"country_code": "US",
"telephone_number": "276-794-2703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALL",
"first_name": "DAKOTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.