Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dane Person

Individual provider Physical Therapist · NPI 1114139318

Dane Person is a Physical Therapist in Private Practice in Jal, New Mexico. Qualified in 2002, 24 years ago. Practices with Jal Hospital District, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Mexico.

Years since qualifying
24
Licensed in
NC, NM
In the registry since
2007
Specialties on file
2

Practice location Address checks out

310 Continental Dr
Jal, NM 88252
Phone: (575) 395-3400
Fax: (575) 395-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5374 (NM)
Physical Therapist Taxonomy 225100000X · Licence 9366 (NC)

Record details

NPI number1114139318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 27, 2024
Mailing address2991 Eclectic Ct, Watkins, CO 80137-7117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Jal Hospital District — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare