Dale Reckless, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002389E Issued in PA

Practice address

500 Market St
Suite 103
Beaver, PA 15009-2998

Phone

(724) 728-7550

Fax

(724) 647-1570

NPI assigned

Mar 11, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mrs Physical Therapy

  • Physical Therapist
  • Erie, PA
  • NPI 1306893763
  Medicare reassignment Care Compare group
• Medical Rehabilitation Systems, LLC

  • Physical Therapist
  • Grantsville, MD
  • NPI 1861500233
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1932525326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "SUITE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-728-7550",
            "fax_number": "724-647-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "SUITE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-728-7550",
            "fax_number": "724-647-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKLESS",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002389E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xingyi Que, M.D.
• Olivia Dawn Rabak, RDN, LDN
• David Mark Rafalko, M.D.
• Anna Rastatter, LCSW
• Annmarie Ray, M.D.
• Joan I Reis, LPC
• Renal Treatment Centers Mid Atlantic Inc.
• Barbara Repic, RN
• Barry R Reznick, MD
• Gretchen Ricchino, LPC

• Physical Therapist in Beaver, PA
• Providers in Beaver, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.