Individual provider Active NPI

Daniel Gilbert Kline, PT, DPT, ATC

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1063768596
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010697 Issued in GA
Practice address
200 Patewood Dr
Ste C 150
Greenville, SC 29615-3593
Phone
(864) 454-0904
Fax
(864) 454-0905
NPI assigned
Aug 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010697 GA Primary
Athletic Trainer 2255A2300X AT001686 GA

Addresses

Primary practice location

200 Patewood Dr
Ste C 150
Greenville, SC 29615-3593

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000909 SC Practitioner - Physical Therapist in Private Practice 1850549361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

200 Patewood Dr
Suite C150
Greenville, SC 29615-6323
Phone (864) 454-0904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010697GAMDPhysical Therapist
AT001686GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 10, 2017 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 10, 2017 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations (25 of 29)

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

1520 E Greenville St
Ste G
Anderson, SC 29621
Phone (864) 224-6070

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

12023 N Radio Station Rd
#A
Seneca, SC 29678
Phone (864) 985-0770

10626 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0064

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

1400 W Georgia Rd
Ste 400
Simpsonville, SC 29680
Phone (864) 757-3053

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1063768596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR",
            "address_2": "STE C 150",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153593",
            "telephone_number": "864-454-0904",
            "fax_number": "864-454-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "DANIEL",
        "middle_name": "GILBERT",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010697",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.