Individual provider Active NPI

Daniel Roquemore, PT, DPT

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1134697733
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212495 Issued in VA
Practice address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone
(385) 308-8034
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 2305212495 VA Primary

Addresses

Primary practice location

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, AR, CO, NY, GA, MD7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20181226000527 VA Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 2 organizations
I20260116003495 DC Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 2 organizations
I20260319003314 AR Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 1 organization
I20260319003531 CO Practitioner - Physical Therapist in Private Practice 1153666938
I20260320003571 NY Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 1 organization
I20260413001993 GA Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 1 organization
I20260428000213 MD Practitioner - Physical Therapist in Private Practice 1153666938 Reassigns benefits to 1 organization

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
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

Clarence Center, NY 14032
Phone (857) 990-6111

Richmond, VA 23228
Phone (857) 990-6111

Fairburn, GA 30213
Phone (857) 990-6111

Springdale, AR 72762
Phone (857) 990-6111

111 Denny LN
Winchester, VA 22603-4832
Phone (877) 407-3422

2405 York Rd
Suite 201
Lutherville Timonium, MD 21093-2252
Phone (857) 990-6111

3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212495VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Xrhealth USA Inc Physical Therapist CurrentSince Mar 13, 2026 Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

111 Denny Ln
Winchester, VA 22603
Phone (540) 667-5323

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1134697733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUEMORE",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.