Jessica Dale, DPT
Physical Therapist in Grayson, KY. Individual provider (NPI-1).
NPI number1962993576
StatusActive
Last updated in NPPESSep 10, 2018
Details
- NPI
- 1962993576
- Entity type
- Individual (NPI-1)
- Name
- Jessica Dale
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2018
- Last updated
- Sep 10, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 007379 | KY | Yes |
| 225100000X | Physical Therapist | 003964 | WV |
Practice location
144 S Carol Malone BlvdGrayson, KY 41143-1352
Phone 606-474-7649 · Fax 606-474-0855
Mailing address
144 S Carol Malone BlvdGrayson, KY 41143-1352
Phone 606-474-7649 · Fax 606-474-0855
Other practice locations
3552 Us Route 60 E
Barboursville, WV 25504-1639
Barboursville, WV 25504-1639
Phone 304-733-9560 · Fax 304-733-1141
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Physical Therapist providers in Grayson · All 317 providers in Grayson
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