Daniel Anderson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034290 Issued in NY

Practice address

518 E Main St Ste 100
Riverhead, NY 11901-2529

Phone

(631) 591-0838

Fax

(631) 727-0678

NPI assigned

Dec 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Care Physical Therapy and Rehabilitation P.C 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Professional Care Physical Therapy and Rehabilitation P.C

  • Physical Therapist
  • East Patchogue, NY
  • NPI 1659518157

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  NY, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1114296357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E MAIN ST STE 100",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012529",
            "telephone_number": "631-591-0838",
            "fax_number": "631-727-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E MAIN ST STE 100",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012529",
            "telephone_number": "631-591-0838",
            "fax_number": "631-727-0678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Patchogue Yaphank Rd",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117724899",
            "country_code": "US",
            "telephone_number": "631-775-0971",
            "fax_number": "631-475-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Amon, MS, PA-C
• Ams Business Deal Corporation
• Rachel M Amsel, DDS
• Nutan Anand, MD
• Fabliha Masnoon Anbar, DPM
• Deirdre Marie Anderson, LPN
• Andrew Abrams Social Worker PC
• Irene Shirley Andrews Crampe
• Anna Sakhno-Murphy Physical Therapy, PLLC
• Roni Aoun, M.D.

• All providers in Riverhead, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.