Individual provider Active NPI

Elizabeth Purcell Daniel, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1184292948
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28466 Issued in MD
Practice address
600 Wyndhurst Ave Ste 102
Baltimore, MD 21210-2424
Phone
(410) 601-3991
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 28466 MD Primary

Addresses

Primary practice location

600 Wyndhurst Ave Ste 102
Baltimore, MD 21210-2424

Mailing address

2017 Masters Dr
Baltimore, MD 21209-1746
Phone (919) 889-3324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104000517 MD Practitioner - Physical Therapist in Private Practice 1456728476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Roland Park LLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Indigo Physiotherapy, LLC Physical Therapist PastSince Apr 9, 2024 Accepting new patients

Locations

600 Wyndhurst Ave
Ste 102
Baltimore, MD 21210
Phone (410) 601-3991

6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075
Phone (410) 799-7227

3060 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (571) 275-8808

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, 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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1184292948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 MASTERS DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091746",
            "telephone_number": "919-889-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102424",
            "telephone_number": "410-601-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ELIZABETH",
        "middle_name": "PURCELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.