Individual provider Active NPI

Stephanie Claire Dailey, PT, DPT

  • Physical Therapist
  • Centerville, OH
National Provider Identifier
1770140329
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018045 Issued in OH
Practice address
1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone
(937) 428-6273
Fax
(937) 428-6274
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018045 OH Primary

Addresses

Primary practice location

1700 Thomas Paine Pkwy
Centerville, OH 45459-2541

Mailing address

1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630003291 OH Practitioner - Physical Therapist in Private Practice 4880017300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Family Therapy Specialists IncGroup PAC ID 6709016777, 3 clinicians

Practice addresses (Care Compare)

1700 Thomas Paine Pkwy
Centerville, OH 45459-2541
Phone (937) 428-6273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Family Therapy Specialists Inc Physical Therapist CurrentSince Mar 27, 2020 Accepting new patients

Locations

1700 Thomas Paine Pkwy
Dayton, OH 45459
Phone (937) 428-6273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1770140329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592541",
            "telephone_number": "937-428-6273",
            "fax_number": "937-428-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 THOMAS PAINE PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592541",
            "telephone_number": "937-428-6273",
            "fax_number": "937-428-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "STEPHANIE",
        "middle_name": "CLAIRE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.