Provider Demographics
NPI:1659649242
Name:DALLMEYER PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:DALLMEYER PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DALLMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:805-681-1004
Mailing Address - Street 1:181 S TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2208
Mailing Address - Country:US
Mailing Address - Phone:805-681-1004
Mailing Address - Fax:805-692-5199
Practice Address - Street 1:181 S TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2208
Practice Address - Country:US
Practice Address - Phone:805-681-1004
Practice Address - Fax:805-692-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 6421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT6421AMedicare PIN