Active NPI
William J. Daley, M.S.P.T
- Physical Therapist
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4034
- Practice address
- 2200 Crow LN Ste 201
Myrtle Beach, SC 29577-1663 - Phone
- (843) 848-5000
- NPI assigned
- Apr 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4034 | SC | Primary |
Addresses
Primary practice location
2200 Crow LN Ste 201
Myrtle Beach, SC 29577-1663
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 652-8226
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@tidelands-health.direct.kno2fy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Crow LN
Suite 201
Myrtle Beach, SC 29577-1663
Phone (843) 848-5001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4034 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Associates LLC | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Services, LLC | Past | Accepting new patients |
Locations
701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
2200 Crow Ln
Ste 201
Myrtle Beach, SC 29577
Phone (843) 848-5000
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
-
- Obstetrics & Gynecology Physician
- Georgetown, SC
- NPI 1548501976
-
- Family Medicine Physician
- Pawleys Island, SC
- NPI 1962691402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1295977668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203",
"telephone_number": "843-652-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CROW LN STE 201",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295771663",
"telephone_number": "843-848-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "WILLIAM",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "M.S.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4034",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@tidelands-health.direct.kno2fy.com",
"affiliation": "N",
"address_1": "2200 Crow Ln Ste 201",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295771663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.