Organization Active NPI

Dawson Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Benton, KY
National Provider Identifier
1760910939
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DAWSON PHYSICAL THERAPY, PLLC
Practice address
315 W 5TH St Ste 200
Benton, KY 42025-1152
Phone
(270) 252-7200
Fax
(270) 252-7201
NPI assigned
May 31, 2017
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Cassie DawsonNPI 1326336579
Title
Owner
Phone
(270) 252-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

315 W 5TH St Ste 200
Benton, KY 42025-1152

Mailing address

315 W 5TH St Ste 200
Benton, KY 42025-1152
Phone (270) 252-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180418002849 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204199540 Receives reassigned benefits from 2 practitioners
Practice locations: Benton, KY

National Provider Directory

National Provider Directory

Locations

315 W 5th St
Ste 200
Benton, KY 42025
Phone (270) 252-7200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1760910939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST STE 200",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251152",
            "telephone_number": "270-252-7200",
            "fax_number": "270-252-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST STE 200",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251152",
            "telephone_number": "270-252-7200",
            "fax_number": "270-252-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-252-7200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.