Active NPI
Denis Dawson
- Physical Therapist
- Louisville, KY
National Provider Identifier
1982081600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-004264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100342650 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-004264 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Louisville, KY
- NPI 1174900831
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.