Individual provider Active NPI

Daniel Ray Garnes, PT, DPT

  • Geriatric Physical Therapist
  • Washington, IA
National Provider Identifier
1063067510
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
095744 Issued in IA
Practice address
1015 S Iowa Ave
Washington, IA 52353-1126
Phone
(319) 653-7264
NPI assigned
Aug 1, 2019
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 095744 IA Primary

Addresses

Primary practice location

1015 S Iowa Ave
Washington, IA 52353-1126

Mailing address

502 N Main St Apt 3
Fairfield, IA 52556-2492
Phone (515) 883-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211115001806 IA Practitioner - Physical Therapist in Private Practice 0244629111 Reassigns benefits to 2 organizations
I20240311001507 NE Practitioner - Physical Therapist in Private Practice 0244629111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095744IAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Geriatrics CurrentSince Feb 1, 2023 Accepting new patients
Integrated Therapy Services LLC Geriatrics CurrentSince Dec 30, 2024 Accepting new patients
Pando Geriatric Counseling, PC Past Accepting new patients

Locations

1515 Linden St
Ste 101
Des Moines, IA 50309
Phone (515) 288-0569

8525 Urbandale Ave
Urbandale, IA 50322
Phone (515) 206-9371

5601 S 84th St
Lincoln, NE 68516
Phone (402) 480-0250

4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860

Organizations & group practices 3

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1063067510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N MAIN ST APT 3",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562492",
            "telephone_number": "515-883-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531126",
            "telephone_number": "319-653-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNES",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IA",
            "license": "095744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.