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DR. DALE THOMAS LANDRY M.D. NPI 1518108588


NPI Information

NPI: 1518108588
Provider Name: DR. DALE THOMAS LANDRY, M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: SELECT PHYSICAL THERAPY HOLDINGS INC

PECOS Registration: Yes

Address:
1034 MAR WALT DR
SUITE 100
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-2153
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DR. Dale Thomas Landry, M.D. is an orthopaedic surgery in Fort Walton Beach, FL with 15 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Dale Thomas Landry, M.D. NPI is 1518108588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2009

The provider's business location address is:

1034 MAR WALT DR
SUITE 100
FORT WALTON BEACH, FL
ZIP 32547-639
Phone: (850) 863-2153
Fax: (850) 315-9350

The NPI 1518108588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • Physical therapy evaluation (HCPCS:97001)
  • Fusion of spine bones with removal of disc at upper spinal column, anterior approach (HCPCS:22551)

The enumeration date for this NPI number is 3/20/2009 and was last updated on 6/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineME 123092FLORIDANo
2207X00000XOrthopaedic SurgeryME123092FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1151CHOTHERFLORIDABCBS FL
2Z170402OTHERMEDICARE PTAN
3ME123092OTHERFLORIDAMEDICAL LICENSE
4FL4773873OTHERDEA
5APPLYING ATN 598515OTHERFLORIDAFL MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.