Individual provider Active NPI

Denis Dawson

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1982081600
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-004264 Issued in KY
Practice address
4806 Arling CT
Louisville, KY 40215-1009
Phone
(502) 648-3334
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-004264 KY Primary

Addresses

Primary practice location

4806 Arling CT
Louisville, KY 40215-1009

Mailing address

4806 Arling CT
Louisville, KY 40215-1009
Phone (502) 648-3334

Other practice location 1

2231 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 648-3334

Other practice location 2

8206 Highview Ct
Crestwood, KY 40014-8105
Phone (502) 262-2887

Other practice location 3

7408 Highway 329
Crestwood, KY 40014-8884
Phone (502) 648-3334

Other identifiers 1

IdentifierTypeStateIssuer
7100342650MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-004264KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Dynamics LLC Past Accepting new patients

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1982081600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 ARLING CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151009",
            "telephone_number": "502-648-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 ARLING CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151009",
            "telephone_number": "502-648-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2231 Lower Hunters Trce",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161358",
            "country_code": "US",
            "telephone_number": "502-648-3334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8206 Highview Ct",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400148105",
            "country_code": "US",
            "telephone_number": "502-262-2887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7408 Highway 329",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400148884",
            "country_code": "US",
            "telephone_number": "502-648-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DENIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-004264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100342650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.