Jolene A Daulton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

471 S Arch Ave
Dadez Physical Therapy, Inc
New Richmond, WI 54017-1832

Phone

(715) 246-3809

Fax

(715) 246-7139

NPI assigned

Oct 5, 2007

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daulton Physical Therapy, LLC

  • Physical Therapist
  • Hudson, WI
  • NPI 1760806095
  Medicare reassignment NPD Authorized official
• Dadez Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • New Richmond, WI
  • NPI 1568554913
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1922296755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "address_2": "DADEZ PHYSICAL THERAPY, INC",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-3809",
            "fax_number": "715-246-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "address_2": "DADEZ PHYSICAL THERAPY, INC",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-3809",
            "fax_number": "715-246-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULTON",
        "first_name": "JOLENE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9757-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Marie Culbertson, APSW
• Dadez Physical Therapy, Inc
• Karl E Dadez, PT
• Andrew Dahl
• Mary Agnes Dahl, MD
• Deerfield Care Cener, LLC
• Deerfield Care Center, LLC
• David O. Degear, M.D.
• Brittanee R Despres, OT
• Joseph A Dietzler, MD

• Physical Therapist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.