Individual provider Active NPI

Daniel Martin Chitwood, PT, DPT, LMT, CSCS

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1144413667
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7779 Issued in AZ
Practice address
1200 W Route 66
Flagstaff, AZ 86001-6238
Phone
(928) 556-0776
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7779 AZ Primary
Massage Therapist 225700000X MT-05208 AZ

Addresses

Primary practice location

1200 W Route 66
Flagstaff, AZ 86001-6238

Mailing address

4204 E Spring Meadows Cir
Flagstaff, AZ 86004-9207
Phone (520) 907-6116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000465 AZ Practitioner - Physical Therapist in Private Practice 3375633910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Don Berlyn Physical Therapy PCGroup PAC ID 7012097835, 3 clinicians

Practice addresses (Care Compare)

1200 W Route 66
Flagstaff, AZ 86001-6238
Phone (928) 556-0776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7779AZMDChiropractor
MT-05208AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Don Berlyn Physical Therapy PC Physical Therapist CurrentSince Oct 11, 2007 Accepting new patients

Locations

1200 W Route 66
Flagstaff, AZ 86001
Phone (928) 556-0776

Organizations & group practices 1

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1144413667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 E SPRING MEADOWS CIR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049207",
            "telephone_number": "520-907-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ROUTE 66",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016238",
            "telephone_number": "928-556-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, LMT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7779",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-05208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.