Joel T Dall, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

275517-1205 Issued in UT

Practice address

1160 E 3900 S Ste 4050
Salt Lake City, UT 84124-1264

Phone

(801) 262-8486

Fax

(801) 284-8699

NPI assigned

Aug 12, 2005

Reactivated

Apr 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Utah School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt Lake Orthopaedic Specialist LLCGroup PAC ID 3173422730, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Salt Lake Orthopaedic Specialist, LLC

  • Specialist
  • Salt Lake City, UT
  • NPI 1811913429
  Medicare reassignment Care Compare group NPD
• Salt Lake Orthopaedic Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • American Fork, UT
  • NPI 1417833419
  NPD
• Salt Lake Orthopaedic Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • Orem, UT
  • NPI 1295611291
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1992707657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 4050",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241264",
            "telephone_number": "801-262-8486",
            "fax_number": "801-284-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2326 N 400 E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840743460",
            "country_code": "US",
            "telephone_number": "435-241-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALL",
        "first_name": "JOEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "275517-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0651",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Daley Jr. Jr.
• Juliana Daley
• Kyle Brandt Daley, PA-C
• Nicholas Cody Daley, D.O.
• Kristin Larie Dalke
• Carrie L Dallas
• Cayla Mae Dallas
• Jolene Dalley-Waters, SSW
• Eugene S. Dalley, PHYSICAL THERAPIST
• Jory Dalling

• Physical Medicine & Rehabilitation Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.