Individual provider Active NPI

Dale Turner

  • Pediatric Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1881762813
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05000638A Issued in IN
Practice address
9765 Randall Dr
Suite a
Indianapolis, IN 46280-1816
Phone
(317) 222-1409
Fax
(317) 663-3051
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 05000638A IN Primary

Addresses

Primary practice location

9765 Randall Dr
Suite a
Indianapolis, IN 46280-1816

Mailing address

9765 Randall Dr Ste a
Indianapolis, IN 46280-1817
Phone (317) 222-1409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130608000193 IN Practitioner - Physical Therapist in Private Practice 3072751767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05000638AINMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Therapy Inc Pediatrics CurrentSince Jan 19, 2013 Accepting new patients

Locations

9765 Randall Dr
Ste A
Carmel, IN 46280
Phone (317) 222-1409

15026 Greyhound Ct
Ste A
Carmel, IN 46032
Phone (317) 222-1409

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1881762813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 RANDALL DR STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801817",
            "telephone_number": "317-222-1409",
            "fax_number": "317-663-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 RANDALL DR",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801816",
            "telephone_number": "317-222-1409",
            "fax_number": "317-663-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05000638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.