Kevin G Daly, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

22514 Issued in CA

Practice address

1366 El Camino Dr
Clayton, CA 94517-2105

Phone

(925) 673-9355

Fax

(925) 673-9357

NPI assigned

Aug 28, 2009

Last updated

Aug 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arleen D Thomas

  dba ErgoSolutions Physical Therapy

  • Physical Therapy Clinic/Center
  • El Sobrante, CA
  • NPI 1811164940

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1164655759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 EL CAMINO DR",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945172105",
            "telephone_number": "925-673-9355",
            "fax_number": "925-673-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 EL CAMINO DR",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945172105",
            "telephone_number": "925-673-9355",
            "fax_number": "925-673-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "KEVIN",
        "middle_name": "G",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "22514",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "22514",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Chrobot, PHARM D
• Clayton Valley Medical Group, Inc
• Clayton Valley Medical Group, Inc.
• Contra Costa County (Marsh Creek Detention Facility Health Clinic)
• Contra Costa County (Marsh Creek Detention Facility)
• Michelle M Daly, MPT
• Dex Dare, AMFT/APCC
• David P. Cartago DDS, Dental Office, Inc. (Perfect Smiles Family Dentistry)
• Robert Lee Davis
• Stephen Devecchio

• Pediatric Physical Therapist in Clayton, CA
• Providers in Clayton, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.