Daniel Sparks, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23652 Issued in MD

Practice address

3551 Washington Blvd
Halethorpe, MD 21227-1672

Phone

(443) 566-4260

Fax

(443) 558-1090

NPI assigned

Feb 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: daniel.sparks.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD

  Medicare reassignment Care Compare group NPD
• Felice Physical Therapy

  • Physical Therapy Clinic/Center
  • Hunt Valley, MD
  • NPI 1851774475

  Physical Therapist

  Medicare reassignment NPD
• Maryland Sportscare & Rehab LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995
  Medicare reassignment NPD
• Maryland Sportscare & Rehab, LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1275072191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 WASHINGTON BLVD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271672",
            "telephone_number": "443-566-4260",
            "fax_number": "443-558-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DANIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Smith
• Melissa Whitney Smith, PHARM.D.
• Patrick Reid Smith, M.D.
• Teresa Smith, OT
• Jeffrey Snyder, LCSW-C
• Julie Srorn, PHARM.D.
• Stark Health Services,Inc
• Brian Alan Stark, CRNA
• Stevenson Podiatry
• Stevenson Podiatry LLC

• Physical Therapist in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.