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
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.
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181009001567 | AZ | Practitioner - Physical Therapist in Private Practice | 2769734318 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30049 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Az PT LLC | Physical Therapist | Current |
Accepting new patients |
| 360 Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| 360 Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Back Nine Health Care LLC | Physical Therapist | Current |
Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Maximum Potential Sport & Fitness Training Inc. | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Matthew McCutcheon
- Isabelle R McDade
- Allison Ivy McDaniel
- Lea McDaniel
- Natalie Claire McDaniel
- Takasia Alae McDaniel
- Carmelita McDaniels
- Leita McDavid
- Andrea Marie McDermet
- Douglas McDermet
All providers in Phoenix, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.