NPIMap

Individual provider Active NPI

Dale Dean Carmean

  • Physical Therapy Assistant
  • Fedral Way, WA
National Provider Identifier
1992084107
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P1 60132061 Issued in WA
Practice address
1010 South 336TH Street
Suite 210
Fedral Way, WA 98003
Phone
(866) 835-8091
NPI assigned
Aug 5, 2011
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P1 60132061 WA Primary

Addresses

Primary practice location

1010 South 336TH Street
Suite 210
Fedral Way, WA 98003

Mailing address

1010 South 336TH Street
Suite 210
Fedral Way, WA 98003

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1 60132061WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Services Inc. Past Accepting new patients
Supplemental Healthcare Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1992084107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 336TH STREET",
            "address_2": "SUITE 210",
            "city": "FEDRAL WAY",
            "state": "WA",
            "postal_code": "98003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 336TH STREET",
            "address_2": "SUITE 210",
            "city": "FEDRAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "866-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMEAN",
        "first_name": "DALE",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60132061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.