DALTON EMERSON WEST (PT) – Physical Therapist, NPI 1114594561

DALTON EMERSON WEST (PT) is a healthcare provider. based in Fayetteville, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 14711 (TN). The NPI Number for DALTON EMERSON WEST (PT) is 1114594561

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DALTON EMERSON WEST (PT)
NPI
1114594561
Phone
(931) 557-5030
Address
2649 Huntsville Hwy
Enumeration Date
4 June 2021
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3568299544
Graduation Year
2020 (6 years ago)
PAC ID
4789084765
Group Practice PAC ID
1557390671
Professional Enrollment ID
I20230131001156
Address ID
TN373346778FA2649XHWYX300

Contacts

FHIR Endpoint
securerecords.sanford.html
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for DALTON EMERSON WEST (PT)

  • 2649 Huntsville Hwy

    Fayetteville, TN 373346778

    Phone: (931) 557-5030

    Type: Location

  • 8847 LORING RD

    GROVESPRING, MO 656628406

    Phone: (931) 292-7262

    Type: Mailing

  • 842 LYNN ST

    LEBANON, MO 655363832

    Phone: (417) 272-4384

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 238-7217

    Type: Mailing

  • 26448 MAIN ST

    ARDMORE, TN 384492913

    Phone: (931) 427-6030

    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: 2023-01-31

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
I20230131001156IPhysical Therapist In Private PracticeTNTBD

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
97530Therapy procedure using functional activities1,246123$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes905117$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes664103$0
97140Therapy procedure using manual technique, each 15 minutes37168$0
97150Therapy procedure in a group setting23580$0
View full utilization report →

Insurance plans in this area (ZIP 37334)

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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: 1557390671View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

Can I use this page to confirm DALTON EMERSON WEST (PT)'s NPI?
Yes. DALTON EMERSON WEST (PT) is listed with NPI 1114594561 in the public NPI dataset.
Can I rely on DALTON EMERSON WEST (PT) being an active provider?
As of the registry snapshot, DALTON EMERSON WEST (PT) is marked active.
What is DALTON EMERSON WEST (PT)'s specialty?
The listing groups DALTON EMERSON WEST (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect DALTON EMERSON WEST (PT) on a map?
Expect Fayetteville, Tennessee as a primary anchor for DALTON EMERSON WEST (PT) unless the record lists multiple sites.
Why does DALTON EMERSON WEST (PT) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.