Individual provider Active NPI

Daniel Beale, DPT, PT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1003523358
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215462 Issued in VA
Practice address
4208A Franklin Rd SW
Roanoke, VA 24014-5258
Phone
(540) 446-0189
Fax
(540) 492-4341
NPI assigned
Nov 4, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215462 VA Primary

Addresses

Primary practice location

4208A Franklin Rd SW
Roanoke, VA 24014-5258

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Other practice location 1

1310 3rd St SW
Roanoke, VA 24016-5219
Phone (540) 985-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330003063 VA Practitioner - Physical Therapist in Private Practice 5092180208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

133 Market Ctr Way
Suite 2
Daleville, VA 24083-3284
Phone (540) 242-3017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215462VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Lucas Physical Therapy Inc Physical Therapist CurrentSince Aug 2, 2024 Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist CurrentSince Nov 20, 2022 Accepting new patients
Spine and Orthopedic Rehab of VA Inc Physical Therapist CurrentSince Nov 20, 2022 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

133 Market Center Way
Ste 2
Daleville, VA 24083
Phone (540) 242-3017

1310 3rd St SW
Roanoke, VA 24016
Phone (540) 345-4946

4208 Franklin Rd SW
#A
Roanoke, VA 24014
Phone (540) 446-0189

4208 Franklin Rd SW
#B
Roanoke, VA 24014
Phone (540) 446-0189

4325 Brambleton Ave
Ste A
Roanoke, VA 24018

5238 Valleypointe Pkwy
Ste 5
Roanoke, VA 24019
Phone (540) 366-9244

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1003523358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208A FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145258",
            "telephone_number": "540-446-0189",
            "fax_number": "540-492-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240165219",
            "country_code": "US",
            "telephone_number": "540-985-6500",
            "fax_number": "540-985-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.