Dallin Scott Wilkes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6741 Issued in ID

Practice address

2175 N Whitley Dr.
Fruitland, ID 83619

Phone

(208) 452-7197

Fax

(208) 452-4811

NPI assigned

Jul 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Current Physical Therapy MeridianGroup PAC ID 8820449689, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Current Physical Therapy Meridian

  • Physical Therapy Assistant
  • Meridian, ID
  • NPI 1508647900

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Current Physical Therapy LLC

  • Physical Therapist
  • Fruitland, ID
  • NPI 1518478734
  Medicare reassignment NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1992322382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 S FEDERAL WAY APT E101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165250",
            "telephone_number": "208-230-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N WHITLEY DR.",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "83619",
            "telephone_number": "208-452-7197",
            "fax_number": "208-452-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "DALLIN",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Classical Academy
• Tri-City Physical Therapy, P.C.
• Lana M Usilton, C.N.
• Melissa Waite, FNP-C
• Joseph Weatherspoon, PHARMD
• Thad W Wilkey, PA
• Becky Jean Wolery, LCSW
• Ryan Charles Zimmerly, PHARM.D

• Physical Therapist in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.