Individual provider Active NPI

Daniel Masin Harvey, DPT

  • Physical Therapist
  • Zeeland, MI
National Provider Identifier
1104241959
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016494 Issued in MI
Practice address
9479 Riley St Ste And215
Zeeland, MI 49464-8747
Phone
(616) 300-9498
Fax
(866) 245-5601
NPI assigned
Mar 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 5501016494 MI Primary

Addresses

Primary practice location

9479 Riley St Ste And215
Zeeland, MI 49464-8747

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other practice location 1

40097 S Groesbeck Hwy
Clinton Twp, MI 48036-5000
Phone (586) 738-6527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000169 MI Practitioner - Physical Therapist in Private Practice 5294037669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016494MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Dec 3, 2015 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Dec 3, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

7164 N Main St
Clarkston, MI 48346
Phone (248) 625-6400

40097 S Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 468-7612

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

10860 Highland Rd
Hartland, MI 48353
Phone (810) 632-1000

1432 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 543-4886

2672 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 289-1785

31120 Gratiot Ave
Roseville, MI 48066
Phone (586) 541-2220

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

35724 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 698-0081

8381 E 12 Mile Rd
Warren, MI 48093
Phone (586) 698-1999

7715 26 Mile Rd
Washington Twp, MI 48094
Phone (248) 650-4601

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 2

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": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1104241959",
    "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": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 RILEY ST STE AND215",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648747",
            "telephone_number": "616-300-9498",
            "fax_number": "866-245-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40097 S Groesbeck Hwy",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480365000",
            "country_code": "US",
            "telephone_number": "586-738-6527",
            "fax_number": "586-741-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "DANIEL",
        "middle_name": "MASIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-03",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.