Daniel Gardner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03178 Issued in RI

Practice address

618 George Washington Hwy
Lincoln, RI 02865

Phone

(401) 475-6599

NPI assigned

Mar 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA, VA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yannatos Physical Therapy IncGroup PAC ID 8123474269, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Yannatos Physical Therapy Inc

  • Orthopedic Physical Therapist
  • South Yarmouth, MA
  • NPI 1386325702
  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy, LLC

  • Physical Therapist
  • Warwick, RI
  • NPI 1225123565

  MA

  Medicare reassignment NPD
• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment NPD
• Ivyrehab Connecticut, Inc.

  • Physical Therapist
  • Old Greenwich, CT
  • NPI 1265799365
  NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1013449677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-737-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 GEORGE WASHINGTON HWY",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-475-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E 39th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160112",
            "country_code": "US",
            "telephone_number": "212-317-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 George Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "02865",
            "country_code": "US",
            "telephone_number": "401-475-6599",
            "fax_number": "401-475-6429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10504 Wakeman Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224078040",
            "country_code": "US",
            "telephone_number": "540-315-8249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26851",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040482-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03178",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "PTN0033119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jeanne Gaboury, M.E.D
• Nancy A Gage, CCC-SLP
• Susan Elizabeth Gagnon
• Rebecca Gallucci, M.S. CCC-SLP
• Victoria Gamble
• Raquel Sukanya Garmony
• Dove Garrett
• Shauna Eileen Gaulin
• Talia Gautier
• Mercedes Gay

• Physical Therapist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.