Active NPI
Dale Turner
- Pediatric Physical Therapist
- Indianapolis, IN
National Provider Identifier
1881762813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05000638A
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05000638A | IN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Therapy Inc | Pediatrics | Current | 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.