Jamal Rashad Daniels

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31698 Issued in FL

Practice address

1851 Elkcam Blvd
Deltona, FL 32725-3922

Phone

(386) 789-3769

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1013600907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S WILLOW ST STE 128",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253922",
            "telephone_number": "386-789-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JAMAL",
        "middle_name": "RASHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1353113",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012576",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Currin, PTA
• Nancy Lee Cushing, DC
• Edward Philip Cutolo Jr., M.D.
• D'S Assisted Living of Deltona
• Carol Dangelo, LSW, MSW
• Jackson Robert Darden
• David a. Theis, D.D.S., P.a.
• Barbara Ellen Davis
• Brittany Marie Davis, LMHC, NCC
• Vanessa Davis, ARNP

• Physical Therapist in Deltona, FL
• Providers in Deltona, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.