Dyrly Dy, PT
Individual provider Active NPI Physical Therapist · Malden, MO
NPI 1952812430 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1952812430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2011040575 (MO)
- Practice address
- 500 Barrett Dr
Malden, MO 63863-1204 - Phone
- (573) 276-3843
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011040575 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2011040575 | MO | Yes |
Addresses
Primary practice location
500 Barrett Dr
Malden, MO 63863-1204
Mailing address
223 N Main St Apt 169
Sikeston, MO 63801-4211
Phone (573) 258-0718
Other practice location 1
606 W Missouri St
Bloomfield, MO 63825-9706
Phone (573) 568-2137
Other practice location 2
702 Highway 34 W
Marble Hill, MO 63764-4301
Phone (573) 238-2614
Other providers in Malden, MO
- Delta Area Economic Opportunity Corporation
- Anthony Brian Denson
- Dexter Hosptial LLC
- Diamond in-Home Services, LLC
- Dunklin County Transit Service, Inc.
- Tisha S Earnheart
- Efficient Family Care LLC
- Kassandra Nicole Everett
- Mariam Farah
- Kayla Leann Fuller
All providers in Malden, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.