Robin McDaniel, DPT

Individual provider Active NPI Physical Therapist · Phoenix, AZ

NPI 1124512496 · NPPES record last updated Dec 1, 2023

Key facts

NPI
1124512496
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648
Phone
(602) 715-2237
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Potential Sport and Fitness Training Inc. (4 clinicians)

Practice addresses (Care Compare)

17250 N Hartford Dr
Suite 135
Scottsdale, AZ 85255-5499
Phone (480) 626-2850

5410 E High St
Suite 107
Phoenix, AZ 85054-5457
Phone (602) 404-8012

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181009001567 AZ Practitioner - Physical Therapist in Private Practice 2769734318 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
30049AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Az PT LLC Physical Therapist Current
since Oct 1, 2023
Accepting new patients
360 Physical Therapy LLC Physical Therapist Current
since Jun 13, 2018
Accepting new patients
360 Physical Therapy LLC Physical Therapist Current
since Jun 13, 2018
Accepting new patients
Back Nine Health Care LLC Physical Therapist Current
since Jan 20, 2024
Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist Current
since Dec 6, 2023
Accepting new patients
Maximum Potential Sport & Fitness Training Inc. Current
since Dec 8, 2025
Accepting new patients
360 Physical Therapy, LLC Past Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

6630 W Cactus Rd
Ste B112
Glendale, AZ 85304
Phone (623) 469-5811

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

3602 E Greenway Rd
Ste 106
Phoenix, AZ 85032
Phone (602) 652-1112

5410 E High St
Ste 107
Phoenix, AZ 85054
Phone (480) 282-8485

8670 E Shea Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 607-9200

17250 N Hartford Dr
Ste 135
Scottsdale, AZ 85255
Phone (480) 626-2850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 30049 AZ
Physical Therapist 225100000X AZ Yes

Addresses

Primary practice location

3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648

Mailing address

1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

Other practice location 1

6630 W Cactus Rd Ste B112-113
Glendale, AZ 85304-1600
Phone (480) 821-1997

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2023.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1124512496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245223",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 E GREENWAY RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324648",
            "telephone_number": "602-715-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6630 W Cactus Rd Ste B112-113",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041600",
            "country_code": "US",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-2536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ROBIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "30049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.