Individual provider Active NPI

Dee-Dee Daniel, DPT

  • Specialist
  • Beckley, WV
National Provider Identifier
1285785451
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
323 Issued in WV
Practice address
2233 S Kanawha St
Beckley, WV 25801-6719
Phone
(304) 255-9248
Fax
(304) 255-9237
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 323 WV Primary

Addresses

Primary practice location

2233 S Kanawha St
Beckley, WV 25801-6719

Mailing address

2233 S Kanawha St
Beckley, WV 25801-6719
Phone (304) 255-9248

Other identifiers 2

IdentifierTypeStateIssuer
9420001MedicaidWV
1302443OtherWVUMWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000635 WV Practitioner - Physical Therapist in Private Practice 0446448815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Group practices
A Place to Heal IncGroup PAC ID 4385775097, 3 clinicians

Practice addresses (Care Compare)

106 W Main St
Sophia, WV 25921-7730
Phone (304) 683-6123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
323WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Place to Heal Inc CurrentSince Sep 10, 2024 Accepting new patients
Appalachian Highway Medical & Surgical Clinic, PLLC PastSince Sep 27, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1285785451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-255-9248",
            "fax_number": "304-255-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-255-9248",
            "fax_number": "304-255-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "DEE-DEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9420001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1302443",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.