Jessica Dale, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007379 Issued in KY

Practice address

144 S Carol Malone Blvd
Grayson, KY 41143-1352

Phone

(606) 474-7649

Fax

(606) 474-0855

NPI assigned

May 21, 2018

Last updated

Sep 10, 2018By 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 KY, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generations R.C., Inc.Group PAC ID 3577477462, 13 clinicians

Mobile Therapy ServicesGroup PAC ID 3971547126, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mobile Therapy Services

  • Physical Therapist
  • Grayson, KY
  • NPI 1689865966
  Medicare reassignment Care Compare group NPD
• Generations R.C., Inc

  dba Generations PT of Barboursville

  • Physical Therapist
  • Barboursville, WV
  • NPI 1609930379
  Medicare reassignment Care Compare group NPD
• Generations R.C., Inc.

  dba Generations Physical Therapy

  • Physical Therapist
  • Benwood, WV
  • NPI 1578363701
  NPD
• Generations R.C., Inc.

  dba Physical Therapy of Milton

  • Physical Therapist
  • Milton, WV
  • NPI 1982768586
  NPD

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1962993576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S CAROL MALONE BLVD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431352",
            "telephone_number": "606-474-7649",
            "fax_number": "606-474-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S CAROL MALONE BLVD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431352",
            "telephone_number": "606-474-7649",
            "fax_number": "606-474-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3552 US Route 60 E",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041639",
            "country_code": "US",
            "telephone_number": "304-733-9560",
            "fax_number": "304-733-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003964",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lea Copeland, MA CCC/SLP
• Core Health Centers of Grayson
• Aimee Louise Cover, OTR/L
• Jeffrey Joseph Curley, ATC
• Nathan Curnutte, PHARMD
• Tommy Dearfield Jr., PHARM. D
• Barbara Dickerson
• Diversicare Leasing Corp. (Carter Nursing & Rehabilitation Center)
• Tara Nicole Dollar, PA-C
• Meagan Rhea Doyle, MD

• Physical Therapist in Grayson, KY
• Providers in Grayson, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.