NPIMap

Organization Active NPI

Daniel Carl Burns MSPT Inc PS

Doing business as Ocean Shores Therapy Services

  • Physical Therapist
  • Ocean Shores, WA
National Provider Identifier
1184606113
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DANIEL CARL BURNS MSPT INC PS
Doing business as
Ocean Shores Therapy Services
Practice address
885 Point Brown Ave NW
Ocean Shores, WA 98569-9682
Phone
(360) 289-0251
Fax
(360) 289-3226
NPI assigned
Nov 16, 2005
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Daniel Carl Burns, MSPTNPI 1881694834
Title
Owner/Physical Therapist
Phone
(360) 289-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

885 Point Brown Ave NW
Ocean Shores, WA 98569-9682

Mailing address

PO Box 1833
Ocean Shores, WA 98569-1833
Phone (360) 289-0251

Other identifiers 1

IdentifierTypeStateIssuer
7119159MedicaidWA

Other names 1

  • Ocean Shores Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000773 WA Part B Supplier - Clinic/Group Practice 6800783861 Receives reassigned benefits from 4 practitioners
Practice locations: Ocean Shores, WA

National Provider Directory

National Provider Directory

Locations

885 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-0251

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1184606113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985691833",
            "telephone_number": "360-289-0251",
            "fax_number": "360-289-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 POINT BROWN AVE NW",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699682",
            "telephone_number": "360-289-0251",
            "fax_number": "360-289-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CARL BURNS MSPT INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-289-0251",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119159",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Shores Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Shores, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.