DALLAS PEERY – Physical Therapist, NPI 1265079628

DALLAS PEERY is a healthcare provider. based in Berlin, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 12387 (CT). The NPI Number for DALLAS PEERY is 1265079628

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DALLAS PEERY
NPI
1265079628
Phone
(860) 829-5511
Address
PO BOX 452
Enumeration Date
4 December 2019
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3971934449
Group Practice PAC ID
6800970500
Professional Enrollment ID
I20200518000690
Address ID
CT060372242BE1138XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for DALLAS PEERY

  • PO BOX 452

    BERLIN, CT 060370452

    Phone: (860) 829-5511

    Type: Mailing

  • 1138 FARMINGTON AVE

    BERLIN, CT 06037

    Phone: (860) 829-5511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200518000690IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78338$0
97140Therapy procedure using manual technique, each 15 minutes46535$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15614$0
97162Evaluation for physical therapy, typically 30 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 06037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800970500View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DALLAS PEERY?
DALLAS PEERY — NPI 1265079628 — is the standard way to identify this listing.
Can I rely on DALLAS PEERY being an active provider?
As of the registry snapshot, DALLAS PEERY is marked active.
What is DALLAS PEERY's specialty?
The listing groups DALLAS PEERY with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DALLAS PEERY serve?
DALLAS PEERY's listing highlights Berlin, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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