Individual provider Active NPI

Dakota McDaniel

  • Physical Therapist
  • Jackson, TN
National Provider Identifier
1154279727
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16695 Issued in TN
Practice address
1296 Union University Dr Ste G
Jackson, TN 38305-3714
Phone
(865) 406-7675
NPI assigned
Mar 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 16695 TN Primary

Addresses

Primary practice location

1296 Union University Dr Ste G
Jackson, TN 38305-3714

Mailing address

1743 Huron Rd
Huron, TN 38345-6939
Phone (731) 249-4410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618001527 TN Practitioner - Physical Therapist in Private Practice 5496227647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Practice addresses (Care Compare)

1296 Union University Dr
Suite G
Jackson, TN 38305-3714
Phone (865) 406-7675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16695TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Therapy Outsource, LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

1296 Union University Dr
Ste G
Jackson, TN 38305
Phone (865) 406-7675

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": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1154279727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 HURON RD",
            "city": "HURON",
            "state": "TN",
            "postal_code": "383456939",
            "telephone_number": "731-249-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 UNION UNIVERSITY DR STE G",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053714",
            "telephone_number": "865-406-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "DAKOTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.