Active NPI
Dale Durden Pillow, PT
- Physical Therapist
- Flowood, MS
National Provider Identifier
1851541643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4447
- Practice address
- 2470 Flowood Drive
Flowood, MS 39232 - Phone
- (877) 554-4257
- Fax
- (601) 983-2845
- NPI assigned
- Sep 29, 2008
- 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 | PT4447 | MS | Primary |
Addresses
Primary practice location
2470 Flowood Drive
Flowood, MS 39232
Mailing address
2470 Flowood Drive
Flowood, MS 39232
Phone (877) 554-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4447 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1851541643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLOW",
"first_name": "DALE",
"middle_name": "DURDEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT4447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.