BRIDGET DALTON – Physical Therapist, NPI 1629757661

BRIDGET DALTON is a healthcare provider. based in Elm grove, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1594124 (WI). The NPI Number for BRIDGET DALTON is 1629757661

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
BRIDGET DALTON
NPI
1629757661
Phone
(847) 504-6910
Address
12730 LEE CT
Enumeration Date
17 July 2023
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077460722
Graduation Year
2022 (4 years ago)
PAC ID
2264974609
Group Practice PAC ID
9739156936
Professional Enrollment ID
I20250407003749
Address ID
AK996456378PA642XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for BRIDGET DALTON

  • 12730 LEE CT

    ELM GROVE, WI 531221440

    Phone: (847) 504-6910

    Type: Mailing

  • 3100 OLYMPUS BLVD STE 500

    COPPELL, TX 750195473

    Phone: (847) 504-6910

    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: 2026-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20240612004053IPhysical Therapist In Private PracticeWATBD
I20241010001659IPhysical Therapist In Private PracticeCATBD
I20250407003749IPhysical Therapist In Private PracticeAKTBD
I20260120002764IPhysical Therapist In Private PracticeCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53122)

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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: 9739156936View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

How is BRIDGET DALTON identified in CMS data?
CMS-hosted NPPES data lists BRIDGET DALTON with NPI 1629757661.
Does CMS list BRIDGET DALTON as active?
Yes — BRIDGET DALTON is active in the NPI listing used on this page.
What healthcare role does BRIDGET DALTON hold?
Scheduling teams often label BRIDGET DALTON under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for BRIDGET DALTON?
BRIDGET DALTON's geographic hint is Elm Grove, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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