Individual provider Active NPI

Robin McDaniel, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1124512496
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3602 E Greenway Rd Ste 106
Phoenix, AZ 85032-4648
Phone
(602) 715-2237
NPI assigned
Jun 19, 2018
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

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

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

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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.Group PAC ID 1759488919, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30049AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.